Individual provider · Type 1 NPI

Deidre Rachel Prosen, LPC

Mental Health Counselor · Shorewood, WI

NPI number 1528624855 Active

Practice location

2510 E Capitol Dr
Shorewood, WI 53211-2136

Mailing address

1916 E Elmdale Ct
Shorewood, WI 53211-2342

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7349 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1528624855

Deidre Rachel Prosen, LPC's National Provider Identifier is 1528624855, issued on May 13, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shorewood, WI. The record was last updated on May 13, 2019.