Individual
DION MICHELLE RACKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAPSW, SAC-IT
Contact information
Practice address
11414 W PARK PL, MILWAUKEE, WI 53224-3500
(414) 397-8923
Mailing address
11414 W PARK PL, 202, MILWAUKEE, WI 53224-3500
(414) 397-8923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
128459
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17987
WI
101YM0800X
Mental Health Counselor
128459
WI
101YP2500X
Professional Counselor
128459
WI
104100000X
Social Worker
128459
WI
1041C0700X
Clinical Social Worker
128459
WI
Other
Enumeration date
11/30/2016
Last updated
10/08/2020
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