Organization · Type 2 NPI

Many Roads Clinic

Professional Counselor · Shorewood, WI

NPI number 1366992695 Active

Practice location

2510 E Capitol Dr
Shorewood, WI 53211-2136

Mailing address

4540 S Hearthside Dr
New Berlin, WI 53151-6578

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15410-132 (WI)
Professional Counselor Primary 101YP2500X4100-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1366992695

Many Roads Clinic's National Provider Identifier is 1366992695, issued on Oct 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shorewood, WI. The record was last updated on Dec 2, 2016.