Doctor Name: | ANN K SHERREN |
NPI Number: | 1346409182 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA, SAC-IT |
License Number: | 15550-130 |
Business Practice Address: | 9415 W Forest Home Ave #1 Hales Corners, WI - 531301680 |
Business Phone Number: | 4144274884 |
Business Fax Number: | |
Mailing Address: | 4555 W Schroeder Dr, #170 MILWAUKEE |
State: | WI |
Postal Code: | 532231475 |
Phone Number: | 4143653210 |
Fax Number: | 4143653225 |
NPI Enumeration Date: | 06/06/2008 |
NPI Last Update Date: | 06/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 15550-130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |