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Individual

MS. GINA M HOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC SAC CSW

Contact information

Practice address
10045 W LISBON AVE, WAUWATOSA, WI 53222-2446
(414) 358-7999
(414) 358-7158
Mailing address
S52W23066 HUNTERS HOLW, WAUKESHA, WI 53189-9755
(414) 292-6940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16812-130
WI
101YM0800X
Mental Health Counselor
Primary
2149-226
WI

Other

Enumeration date
03/03/2016
Last updated
10/09/2024
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