Individual provider · Type 1 NPI

Ellicia Wilder, LPC-IT, SAC-IT

Mental Health Counselor · Milwaukee, WI

NPI number 1861156473 Active

Practice location

930 W Historic Mitchell St
Milwaukee, WI 53204-3533

Call (414) 383-9526 Map

Fax (414) 671-6606

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18729-130 (WI)
Mental Health Counselor Primary 101YM0800X4482-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1861156473

Ellicia Wilder, LPC-IT, SAC-IT's National Provider Identifier is 1861156473, issued on Oct 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 1, 2021.