Individual
MR. WENDELL J. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. -CADC-I
Contact information
Practice address
2821 N 4TH ST, SUITE 224, MILWAUKEE, WI 53212-2362
(414) 265-5538
(414) 265-4533
Mailing address
2821 N 4TH ST, SUITE 224, MILWAUKEE, WI 53212-2362
(414) 265-5538
(414) 265-4533
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15370-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247000
—
WI
05
—
42247021
—
WI
Enumeration date
06/07/2007
Last updated
07/09/2007
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