Individual
C E GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CSAC, PNM-C
Contact information
Practice address
1314 W NATIONAL AVE, MILWAUKEE, WI 53204-2114
(414) 949-9760
Mailing address
PO BOX 64537, MILWAUKEE, WI 53204-6937
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15419-132
WI
171M00000X
Case Manager/Care Coordinator
—
—
171R00000X
Interpreter
—
—
174H00000X
Health Educator
Primary
—
—
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15419-132
STATE OF WISCONSIN
WI
01
—
1891023818
1891023818
—
Enumeration date
12/02/2009
Last updated
11/27/2022
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