Individual
WESLEY JAMES VAN EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 MAPLE AVE, WAUKESHA, WI 53186-4739
(262) 549-2121
Mailing address
620 MAPLE AVE, WAUKESHA, WI 53186-4739
(262) 549-2121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17990130
WI
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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