ANDREW DEVERA RONQUILLO

MILWAUKEE, WI
NPI1316213929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  5489)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16286-130)
Enumeration Date2012-03-28
Last Update Date2022-05-06
Business Address
ANDREW DEVERA RONQUILLO
6980 N PORT WASHINGTON RD SUITE 202
MILWAUKEE, WI 53217-3900
Phone number: 414-351-7100
Mailing Address
ANDREW DEVERA RONQUILLO
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number: 414-351-7100