| Doctor Name: | MR. WENDELL J. HARRIS |
| NPI Number: | 1932302718 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. -CADC-I |
| License Number: | 15370-130 |
| Business Practice Address: | 2821 N 4th St Suite 224 Milwaukee, WI - 532122362 |
| Business Phone Number: | 4142655538 |
| Business Fax Number: | 4142654533 |
| Mailing Address: | 2821 N 4th St, Suite 224 MILWAUKEE |
| State: | WI |
| Postal Code: | 532122362 |
| Phone Number: | 4142655538 |
| Fax Number: | 4142654533 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 15370-130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |