Individual provider · Type 1 NPI

Tajuan Conway, CSAC

Addiction (Substance Use Disorder) Counselor · Waukesha, WI

NPI number 1508243387 Active

Practice location

2422 N Grandview Blvd
Waukesha, WI 53188-6105

Call (262) 549-6600 Map

Mailing address

4647 N 70th St
Milwaukee, WI 53218-4848

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17256-130 (WI)

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

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About NPI 1508243387

Tajuan Conway, CSAC's National Provider Identifier is 1508243387, issued on Apr 30, 2015. 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 Dec 1, 2017.