Individual
MR. ALFONZO WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSE, LPC
Contact information
Practice address
1230 E AUER AVE SUITE 211, THE WAKE UP PROGRAM LLC, MILWAUKEE, WI 53212-2257
(414) 372-4483
(414) 372-4483
Mailing address
1230 E AUER AVE SUITE 211, THE WAKE UP PROGRAM LLC, MILWAUKEE, WI 53212-2257
(414) 372-4483
(414) 372-4483
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC 3748-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43594100
—
WI
Enumeration date
11/02/2010
Last updated
11/02/2010
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