Individual provider · Type 1 NPI

Carolyn M. Ferda, LPC-IT

Counselor · Kenosha, WI

NPI number 1700768512 Active

Practice location

2108 63rd St
Kenosha, WI 53143-4454

Call (414) 356-1357 Map

Mailing address

10622 39th Ave
Pleasant Prairie, WI 53158-3821

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X8473226 (WI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1700768512

Carolyn M. Ferda, LPC-IT's National Provider Identifier is 1700768512, issued on Jul 23, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kenosha, WI. The record was last updated on Aug 18, 2025.