Andrea Schneider

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Milwaukee, WI

NPI 1407244148 · NPPES record last updated May 21, 2015

Key facts

NPI
1407244148
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
Fax
(414) 672-6026
NPI assigned
Jan 5, 2015
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1610 Miller Park Way
West Milwaukee, WI 53214-3604

Mailing address

N1880 Double D
Campbellsport, WI 53010-3414

Other providers in West Milwaukee, WI

All providers in West Milwaukee, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.