Individual
MARYAM JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC, ICS
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17144
WI
1041C0700X
Clinical Social Worker
129495
WI
Other
Enumeration date
09/01/2015
Last updated
08/22/2024
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