Organization · Type 2 NPI

Creative Storm Therapy, LLC

Professional Counselor · Kenosha, WI

NPI number 1194442202 Active

Practice location

1111 55th St Ste 4
Kenosha, WI 53140-3611

Mailing address

4308 Pennington Ln
Mount Pleasant, WI 53403-3960

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1194442202

Creative Storm Therapy, LLC's National Provider Identifier is 1194442202, issued on Oct 20, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenosha, WI. The record was last updated on Oct 20, 2022.