Individual provider · Type 1 NPI

Connie O. Madlock

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1457858136 Active

Practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Call (414) 967-7006 Map

Fax (414) 967-7020

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16826-130 (WI)

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

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About NPI 1457858136

Connie O. Madlock's National Provider Identifier is 1457858136, issued on Apr 10, 2018. 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 Apr 10, 2018.