Individual
LYNSEY P RETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, SAC-IT
Contact information
Practice address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
(262) 789-1191
Mailing address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18167-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
9335-123
WI
Other
Enumeration date
01/25/2022
Last updated
02/25/2022
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