Individual
ERICA E IVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S 5TH ST # 214, MILWAUKEE, WI 53204-2449
(414) 768-3588
Mailing address
3658 S 89TH ST, MILWAUKEE, WI 53228-1534
(262) 203-1380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12043-125
WI
101YP2500X
Professional Counselor
7471-226
WI
Other
Enumeration date
05/21/2024
Last updated
12/09/2025
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