| Department Of Veteran Affiars | |
|
5000 W National Ave Building #7 Room 102 Milwaukee WI 53295-0001 | |
| (414) 384-2000 | |
| Not Available |
| Full Name | Department Of Veteran Affiars |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5000 W National Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Rodney Jimmie Rakestraw (VOCATIONA REHABILITATION COUNSELOR) |
| Authorized Official Contact | 4143842000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Veteran Affiars 5000 W National Ave Building #7 Room 102 Milwaukee WI 53295-0001 Ph: (414) 384-2000 | Department Of Veteran Affiars 5000 W National Ave Building #7 Room 102 Milwaukee WI 53295-0001 Ph: (414) 384-2000 |
| NPI Number | 1710372099 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 04/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710372099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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