Organization · Type 2 NPI
Wisconsin Lutheran Child & Family Services
Mental Health Counselor · Milwaukee, WI
NPI number
1063964591
Active
Practice location
4200 W Douglas Ave
Milwaukee, WI 53209-3529
Fax (262) 293-9737
Mailing address
W175N11120 Stonewood Dr, Attn: Linda Rangel
Germantown, WI 53022-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17655-130 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 2449-226 (WI) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1063964591
Wisconsin Lutheran Child & Family Services's National Provider Identifier is 1063964591, issued on Nov 1, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 4, 2022.