Individual
MS. TANDRA RENEE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCIT
Contact information
Practice address
2941 N 44TH ST, MILWAUKEE, WI 53210-1710
(414) 313-7656
Mailing address
2941 N 44TH ST, MILWAUKEE, WI 53210-1710
(414) 313-7656
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
835-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
835-226
PROFESSIONAL COUNSELOR TRAINING LIC
WI
Enumeration date
01/04/2013
Last updated
01/04/2013
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