Individual
MS. MARCELLA SYVILLE ADKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
6001 W CENTER ST, SUITE 208, MILWAUKEE, WI 53210-2154
(414) 393-1099
(414) 393-7993
Mailing address
6001 W CENTER ST, SUITE 208, MILWAUKEE, WI 53210-2154
(414) 393-1099
(414) 393-9773
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14841-130
WI
101YP2500X
Professional Counselor
Primary
4059-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43725300
—
WI
Enumeration date
03/13/2007
Last updated
10/26/2010
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