Individual provider · Type 1 NPI

Alexander Waites, LPC-IT

Professional Counselor · Greenfield, WI

NPI number 1154094290 Active

Practice location

4811 S 76th St # 305
Greenfield, WI 53220-4364

Call (414) 325-7741 Map

Mailing address

4811 S 76th St Ste 305
Greenfield, WI 53220-4364

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5032-226 (WI)
Professional Counselor Primary 101YP2500X10314-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1154094290

Alexander Waites, LPC-IT's National Provider Identifier is 1154094290, issued on Jul 26, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenfield, WI. The record was last updated on Mar 16, 2023.