| A Key To The Streets Foundation Inc. | |
|
7010 N 60th St Apt 101 Milwaukee WI 53223-5112 | |
| (414) 759-4730 | |
| Not Available |
| Full Name | A Key To The Streets Foundation Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7010 N 60th St Apt 101, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Shaquan L Jefferson (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4147594730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Key To The Streets Foundation Inc. Po Box 5483 Milwaukee WI 53205-0483 Ph: (414) 759-4730 | A Key To The Streets Foundation Inc. 7010 N 60th St Apt 101 Milwaukee WI 53223-5112 Ph: (414) 759-4730 |
| NPI Number | 1992410500 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992410500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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