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Andrea Aikens

Counselor, Addiction (Substance Use Disorder) in Kenosha, WI. Individual provider (NPI-1).

NPI number1760914865
StatusActive
Last updated in NPPESMar 29, 2017

Details

NPI
1760914865
Entity type
Individual (NPI-1)
Name
Andrea Aikens
Sex
Female
Sole proprietor
No
Enumeration date
Mar 29, 2017
Last updated
Mar 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)17585-130WIYes

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Phone 262-652-2406 · Fax 262-652-2408

Mailing address

2108 63rd St
Kenosha, WI 53143-4454

Phone 262-652-2406 · Fax 262-652-2408

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