Individual
MR. GLEN VICTOR FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA SAC-IT
Contact information
Practice address
2821 NORTH 4TH STREET SUITE 210, MILWAUKEE, WI 53212
(414) 263-6000
(414) 263-2270
Mailing address
2821 NORTH 4TH STREET SUITE 210, MILWAUKEE, WI 53212
(414) 263-6000
(414) 263-2270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17068-131
WI
Other
Enumeration date
12/21/2018
Last updated
04/22/2025
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