Qwashala A Harris, SAC-IT - Counselor in Milwaukee, WI

Qwashala A Harris, SAC-IT is a Counselor - Addiction (substance Use Disorder) based in Milwaukee, Wisconsin. Qwashala A Harris is licensed to practice in Wisconsin (license number 19657-130) and his current practice location is 1610 Miller Park Way, Milwaukee, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 672-3801.

NPI number for Qwashala A Harris is 1093465452 and his current mailing address is 1610 Miller Park Way, Milwaukee, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093465452.

Contact Information

Qwashala A Harris, SAC-IT
1610 Miller Park Way,
Milwaukee, WI 53214-3604
(414) 672-3801
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameQwashala A Harris
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1610 Miller Park Way, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093465452
  • Provider Enumeration Date: 03/28/2022
  • Last Update Date: 03/28/2022

Medical Identifiers

Medical identifiers for Qwashala A Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093465452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 19657-130 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Qwashala A Harris is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Qwashala A Harris, SAC-IT
1610 Miller Park Way,
Milwaukee, WI 53214-3604

Ph: (414) 672-3801
Qwashala A Harris, SAC-IT
1610 Miller Park Way,
Milwaukee, WI 53214-3604

Ph: (414) 672-3801

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