Individual provider · Type 1 NPI

Monique Ne'sha Portwood, MA, LPC-IT

Professional Counselor · Wauwatosa, WI

NPI number 1841826484 Active

Practice location

2600 N Mayfair Rd Ste 650
Wauwatosa, WI 53226-1322

Call (414) 771-9304 Map

Mailing address

136 W Meinecke Ave Apt 3
Milwaukee, WI 53212-3251

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4164226 (WI)

Professional Counselor: Definition to come...

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About NPI 1841826484

Monique Ne'sha Portwood, MA, LPC-IT's National Provider Identifier is 1841826484, issued on Mar 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 16, 2020.