Individual provider · Type 1 NPI
Richelle Mastalir
Addiction (Substance Use Disorder) Counselor · Waukesha, WI
NPI number
1447726575
Active
Practice location
403 N Grand Ave
Waukesha, WI 53186-4913
Mailing address
2435 S 69th St # At
West Allis, WI 53219-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 18296 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1447726575
Richelle Mastalir's National Provider Identifier is 1447726575, issued on Oct 16, 2018. 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 Oct 16, 2018.