Charise Carson
NPI #1366068223 in West Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1366068223
- Entity Type
- Individual
- Name
- Charise Carson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 17, 2020
- Last Updated
- Jun 17, 2020
Practice Location
- Address
- 1610 MILLER PARK WAY
- City
- West Milwaukee
- State
- Wisconsin
- ZIP Code
- 53214-3604
- Phone
- (414) 672-3801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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