Individual provider · Type 1 NPI

Shereese Clark, CSAC

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1194026013 Active

Practice location

255 W Broadway
Waukesha, WI 53186-4832

Fax (262) 458-4102

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15866-132 (WI)

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

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About NPI 1194026013

Shereese Clark, CSAC's National Provider Identifier is 1194026013, issued on Nov 9, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jan 21, 2026.