Individual
MR. COREY F GARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, SAC-T
Contact information
Practice address
10532 N. PORT WASHINGTON RD., SUITE 1B, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Mailing address
10532 N PORT WASHINGTON RD, SUITE 1B, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2907-125
WI
101Y00000X
Counselor
2907125
WI
104100000X
Social Worker
16385-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39784700
—
WI
Enumeration date
09/22/2006
Last updated
05/24/2012
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