Individual provider · Type 1 NPI

Carly Wallner

Mental Health Counselor · Port Washington, WI

NPI number 1801525795 Active

Practice location

121 W Main St
Port Washington, WI 53074-1813

Call (262) 238-8130 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8355-125 (WI)
Professional Counselor 101YP2500X8355-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1801525795

Carly Wallner's National Provider Identifier is 1801525795, issued on Jun 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Washington, WI. The record was last updated on Jul 10, 2024.