Individual provider · Type 1 NPI

Theresa Ann Mleczko, MA, LCPC

Mental Health Counselor · Beloit, WI

NPI number 1992865364 Active

Practice location

1969 W Hart Rd
Beloit, WI 53511-2230

Fax (608) 363-5756

Mailing address

514 Prairie St
Rockford, IL 61107-4036

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3888-125 (WI)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1992865364

Theresa Ann Mleczko, MA, LCPC's National Provider Identifier is 1992865364, issued on Dec 8, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beloit, WI. The record was last updated on Jul 8, 2007.