Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003214685 |
---|---|
Provider Name | Mrs. Shantrease Benson |
First Address | Milwaukee, WI 53210-2505 |
Second Address | Milwaukee, WI 53210-2505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2014 |
Last Update Date | 12/12/2014 |