Individual provider · Type 1 NPI

Luisa Ivellisse Padron, RADC I

Addiction (Substance Use Disorder) Counselor · Milwaukee, WI

NPI number 1679618342 Active

Practice location

1545 S Layton Blvd
Milwaukee, WI 53215-1924

Mailing address

3441 S 14th St
Milwaukee, WI 53215-5015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13971 (WI)

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

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About NPI 1679618342

Luisa Ivellisse Padron, RADC I's National Provider Identifier is 1679618342, issued on Feb 21, 2007. 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 Jul 8, 2007.