Individual provider · Type 1 NPI

Ruslana Ennis, SAC-IT

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1013318450 Active

Practice location

1111 S 6th St
Milwaukee, WI 53204-2301

Call (414) 643-8530 Map

Fax (414) 647-8602

Mailing address

1111 South 6th Street
Milwaukee, WI 53204

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17227-130 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013318450

Ruslana Ennis, SAC-IT's National Provider Identifier is 1013318450, issued on Sep 4, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 4, 2014.