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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1328-125 (WI) |
| Professional Counselor | 101YP2500X | 1157-132 (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.