Organization · Type 2 NPI
Lakeshore Wellness and Recovery Inc
Professional Counselor · West Bend, WI
NPI number
1609355452
Active
Practice location
1519 E Washington St Ste A
West Bend, WI 53095-2615
Other practice locations
- 11512 W Port Washington Rd, Suite 201E, Mequon, WI 53092 · (262) 305-9668
- 1228 Highway 33, West Bend, WI 53095 · (262) 305-9668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15917-132 (WI) |
| Professional Counselor Primary | 101YP2500X | 6584-125 (WI) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in West Bend
About NPI 1609355452
Lakeshore Wellness and Recovery Inc's National Provider Identifier is 1609355452, issued on Aug 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Bend, WI. The record was last updated on Nov 2, 2020.