Charise Carson
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Milwaukee, WI
NPI 1366068223 · NPPES record last updated Jun 17, 2020
Key facts
- NPI
- 1366068223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1610 Miller Park Way
West Milwaukee, WI 53214-3604 - Phone
- (414) 672-3801
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- charice.carson@ctcprograms.com
- charise.carson@ctcprograms.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1610 Miller Park Way
West Milwaukee, WI 53214-3604
Mailing address
1610 Miller Park Way
West Milwaukee, WI 53214-3604
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Charice.Carson@ctcprograms.com | ||
| Direct Messaging Address | Charise.Carson@ctcprograms.com |
Other providers in West Milwaukee, WI
- Jaylah U Batemon
- Rosa Maria Brittain
- Kova Anna Brown
- Genesis I Bustamante Valle
- Marigsa Carmona Rodriguez
- Grace Cawley
- Debora Ann Chaumet
- Jena Christopherson
- Daniel Anthony Cichy
- Sarah L Coogan
All providers in West Milwaukee, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.