Individual provider · Type 1 NPI
Antonio T. Boston, SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1720358807
Active
Practice location
2821 N 4th St Ste 139
Milwaukee, WI 53212-2362
Fax (414) 264-4218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16231-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1720358807
Antonio T. Boston, SAC-IT's National Provider Identifier is 1720358807, issued on Jan 6, 2012. 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 Jan 6, 2012.