Individual
MONAE T HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(262) 214-8676
Mailing address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19319
WI
Other
Enumeration date
11/19/2020
Last updated
03/30/2021
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