Individual
MRS. CARLA Q NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
530 E VIENNA AVENUE, SUITE 109, MILWAUKEE, WI 53212-4104
(414) 439-4062
Mailing address
530 E VIENNA AVENUE, MILWAUKEE, WI 53212-4104
(414) 439-4062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5730-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16152-132
WI
Other
Enumeration date
03/03/2014
Last updated
11/06/2024
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