Individual provider · Type 1 NPI
Theresa Marie Shuck, MS, MA, LCGC, LPC
Professional Counselor · Elm Grove, WI
NPI number
1598743239
Active
Practice location
15300 Watertown Plank Rd #106
Elm Grove, WI 53122-7503
Mailing address
2112 Andy John Ct
Green Bay, WI 54311-6371
Other practice locations
- 2112 Andy John Ct, Green Bay, WI 54311-7503 · (920) 606-0130
- 1015 Glenwood Ave, Minneapolis, MN 55405-4402 · (612) 314-7482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1598743239
Theresa Marie Shuck, MS, MA, LCGC, LPC's National Provider Identifier is 1598743239, issued on Jan 4, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elm Grove, WI. The record was last updated on May 7, 2023.