NPI 1003214685

Shantrease Benson

Practitioner Addiction (Substance Use Disorder) Counselor Milwaukee, WI

Practice location

Address: 2677 N 40th St, Milwaukee, WI 53210-2505
Phone: (414) 447-1965
Fax: (414) 874-2820
Mailing address: 2677 N 40th St PO Box 100268, Milwaukee, WI 53210-2505

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1003214685
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2014
Record last updated: 12 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.