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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 3888-125 (WI) |
| Mental Health Counselor | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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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.