Individual
YVONNE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6452 W MEDFORD AVE, MILWAUKEE, WI 53218-4835
(414) 405-4022
Mailing address
6452 W MEDFORD AVE, MILWAUKEE, WI 53218-4835
(414) 405-4022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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