Individual
MARTHA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, ICS
Contact information
Practice address
4383 N 27TH ST, MILWAUKEE, WI 53216-1809
(414) 871-8883
(414) 871-8950
Mailing address
4383 N 27TH ST, MILWAUKEE, WI 53216-1809
(414) 871-8883
(414) 871-8950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13700
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39168100
—
WI
Enumeration date
08/03/2006
Last updated
07/01/2008
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