Individual
RACHEL ANTOINETTE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5171 N 70TH ST, MILWAUKEE, WI 53218-3941
(262) 307-1758
Mailing address
6001 W CENTER ST STE 208, MILWAUKEE, WI 53210-2154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20135-130
WI
1041C0700X
Clinical Social Worker
Primary
12490-123
WI
Other
Enumeration date
07/18/2023
Last updated
01/02/2026
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