Individual provider · Type 1 NPI
Diana Weatherall, CADC III
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1366531840
Active
Practice location
2601 N Dr Martin Luther King Dr
Milwaukee, WI 53212-2711
Fax (414) 264-2264
Mailing address
6400 Industrial Loop
Greendale, WI 53129-2452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11393 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366531840
Diana Weatherall, CADC III's National Provider Identifier is 1366531840, issued on Oct 12, 2006. 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.