Individual
AMANDA L GRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 773-4312
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4828
WI
101YP2500X
Professional Counselor
4828125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027409
—
WI
Enumeration date
12/14/2012
Last updated
11/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us