Organization
NEERAJ AGRAWAL CLINIC LTD
Active
Other names
NEERAJ AGRAWAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEERAJ B AGRAWAL MA, SAC, LPC (DIRECTOR & PSYCHOTHERAPIST)
(414) 628-3457
Entity
Organization
Contact information
Practice address
7332 W STATE ST # LL, WAUWATOSA, WI 53213-2766
(414) 628-3457
(262) 252-4874
Mailing address
11450 N CONCORD CREEK DR, MEQUON, WI 53092-4387
(414) 628-3457
(262) 252-4874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11544
WI
101YP2500X
Professional Counselor
Primary
2847125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242647
VALUEOPTIONS
WI
05
—
43553100
—
WI
Enumeration date
07/15/2006
Last updated
08/17/2010
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