Individual provider · Type 1 NPI

Antonia Sallis, MS, SAC, DPI TEACHER

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1033247606 Active

Practice location

6040 W Lisbon Ave
Milwaukee, WI 53210-2116

Call (414) 364-0406 Map

Fax (414) 442-6387

Mailing address

PO Box 16725, 3762 North 38th Street
Milwaukee, WI 53216-0725

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15375-130 (WI)

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

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About NPI 1033247606

Antonia Sallis, MS, SAC, DPI TEACHER's National Provider Identifier is 1033247606, issued on Mar 2, 2007. 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 Jul 8, 2007.