Individual provider · Type 1 NPI

David Anton Gilmore

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1619452240 Active

Practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Mailing address

9529 W Bradley Rd
Milwaukee, WI 53224-2928

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1619452240

David Anton Gilmore's National Provider Identifier is 1619452240, issued on Sep 28, 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 Sep 28, 2018.