Individual
CARLA YVETTE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
5735 DURAND AVE SUITE A, RACINE, WI 53406
(262) 598-1392
(262) 598-1395
Mailing address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15532-132
WI
Other
Enumeration date
10/20/2011
Last updated
05/03/2016
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