Individual provider · Type 1 NPI

Roger Mack Pumphrey, MA, LPC

Mental Health Counselor · Milwaukee, WI

NPI number 1669672945 Active

Practice location

6040 W Lisbon Ave, Suite 102
Milwaukee, WI 53210-2116

Fax (414) 871-9121

Mailing address

7481 N Navajo Rd
Fox Point, WI 53217-3463

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1328-125 (WI)
Professional Counselor 101YP2500X1157-132 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1669672945

Roger Mack Pumphrey, MA, LPC's National Provider Identifier is 1669672945, issued on Jul 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 24, 2007.