MRS. PAMELA HOWARD BLASZAK CADCIII NPI 1316953953

NPI Information

NPI: 1316953953
Provider Name: MRS. PAMELA HOWARD BLASZAK, CADCIII
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
820 N PLANKINTON AVE
MILWAUKEE, WI
ZIP 53203
Phone: (414) 225-1542
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MRS. Pamela Howard Blaszak, CADCIII is an addiction (substance use disorder) counselor in Milwaukee, WI. MRS. Pamela Howard Blaszak, CADCIII NPI is 1316953953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

820 N PLANKINTON AVE
MILWAUKEE, WI
ZIP 53203-802
Phone: (414) 225-1542
Fax: (414) 225-1575

The enumeration date for this NPI number is 8/1/2006 and was last updated on 4/15/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1919-226	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	13880-132	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42015900	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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