Harrison, James Louis

Harrison, James Louis is an individual health care provider with primary practice located at 10012 West Capitol Drive, Suite 101 West Grove Clinic, Llc, Wauwatosa WI 53222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Harrison, James Louis can be contacted via phone (414) 810-4844.

Contact Information

Primary practice address
10012 West Capitol Drive, Suite 101 West Grove Clinic, Llc Wauwatosa WI 53222
Phone: (414) 810-4844
Fax: (414) 810-4845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13018 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X Wisconsin

Profile Details

NPI number 1255371142
LBN Legal business name Harrison, James Louis
Credentials MS, CSAC, LPC, NCGC-
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Dec 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255371142 NPPES
Wisconsin MEDICAID 100024752
Wisconsin MEDICAID 42019700

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