Individual provider · Type 1 NPI

Audrey Lyn Massanisso

Professional Counselor · Milwaukee, WI

NPI number 1750061693 Active

Practice location

1219 N Cass St
Milwaukee, WI 53202-2770

Call (414) 291-9487 Map

Mailing address

3659 E Underwood Ave
Cudahy, WI 53110-1932

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7502-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1750061693

Audrey Lyn Massanisso's National Provider Identifier is 1750061693, issued on Jul 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 15, 2025.