Individual
MISS LEANN VICE-RESHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 228-4800
(414) 277-8939
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6176
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053674085
—
WI
Enumeration date
06/25/2012
Last updated
07/26/2021
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