Individual
HOLLY NUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7973
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19696-130
WI
101YM0800X
Mental Health Counselor
Primary
10758-125
WI
101YM0800X
Mental Health Counselor
5223-226
WI
Other
Enumeration date
01/12/2023
Last updated
12/13/2023
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