Individual provider · Type 1 NPI

Andrew Devera Ronquillo

Professional Counselor · Milwaukee, WI

NPI number 1316213929 Active

Practice location

6980 N Port Washington Rd
Milwaukee, WI 53217-3900

Fax (414) 247-4082

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5489 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X16286-130 (WI)

Professional Counselor: Definition to come...

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About NPI 1316213929

Andrew Devera Ronquillo's National Provider Identifier is 1316213929, issued on Mar 28, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 7, 2025.