Individual provider · Type 1 NPI
Laurie Rae Reisener, LPC-IT
Mental Health Counselor · Shorewood, WI
NPI number
1689400210
Active
Practice location
3703 N Murray Ave
Shorewood, WI 53211-2554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 8106-226 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 8106-226 (WI) |
Mental Health Counselor: Definition to come...
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About NPI 1689400210
Laurie Rae Reisener, LPC-IT's National Provider Identifier is 1689400210, issued on Sep 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shorewood, WI. The record was last updated on Oct 7, 2024.