| Neeraj Agrawal | |
|
7332 W State St # Ll Wauwatosa WI 53213-2766 | |
| (414) 628-3457 | |
| (262) 252-4874 |
| Full Name | Neeraj Agrawal |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7332 W State St # Ll, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Neeraj B Agrawal (DIRECTOR & PSYCHOTHERAPIST) |
| Authorized Official Contact | 4146283457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neeraj Agrawal 11450 N Concord Creek Dr Mequon WI 53092-4387 Ph: (414) 628-3457 | Neeraj Agrawal 7332 W State St # Ll Wauwatosa WI 53213-2766 Ph: (414) 628-3457 |
| NPI Number | 1891711222 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 08/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891711222 | NPI | - | NPPES |
| 43553100 | Medicaid | WI | |
| 242647 | Other | WI | VALUEOPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11544 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 2847125 (Wisconsin) | Primary |
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