Search › Wisconsin › Addiction (Substance Use Disorder) Counselor
Carollyn Black
NPI 1689216293 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4892 N 19th St
Milwaukee, WI 53209 - Phone
- (414) 595-3630
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin