Individual provider · Type 1 NPI

Elizabeth Susan Port, M.S.

Professional Counselor · Milwaukee, WI

NPI number 1033248968 Active

Practice location

6040 W Lisbon Ave
Milwaukee, WI 53210-2116

Call (414) 447-9890 Map

Mailing address

500 W Bradley Rd # C109
Fox Point, WI 53217-2638

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X163 (WI)

Professional Counselor: Definition to come...

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About NPI 1033248968

Elizabeth Susan Port, M.S.'s National Provider Identifier is 1033248968, issued on Mar 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2007.