Individual provider · Type 1 NPI
Canzata Kimberly Dent, LPC-IT
Mental Health Counselor · Milwaukee, WI
NPI number
1457872673
Active
Practice location
2727 W. Cleveland Suite 204
Milwaukee, WI 53215
Fax (414) 455-1915
Mailing address
2727 W. Cleveland, Suite 204
Milwaukee, WI 53215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3500-226 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1457872673
Canzata Kimberly Dent, LPC-IT's National Provider Identifier is 1457872673, issued on Jun 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jun 28, 2017.