Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Glen Victor Fleming, BASAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1851863302

Mr. Glen Victor Fleming, BASAC-IT is an Addiction (Substance Use Disorder) Counselor in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018

Practice location Address checks out

2821 N 4th St Ste 210
Milwaukee, WI 53212
Phone: (414) 263-6000
Fax: (414) 263-2270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17068-131 (WI)

Record details

NPI number1851863302
Entity typeIndividual (Type 1)
GenderMale
Credentials BASAC-IT
Sole proprietorNo
NPI enumeratedDecember 21, 2018
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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