Individual provider · Type 1 NPI

Tesa Zackery

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1396306775 Active

Practice location

4800 S 10th St
Milwaukee, WI 53221-2412

Call (414) 744-5370 Map

Fax (414) 744-9052

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17417-130 (WI)

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

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About NPI 1396306775

Tesa Zackery's National Provider Identifier is 1396306775, issued on Jun 26, 2019. 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 Jun 26, 2019.