Individual
TAMAM SARSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5422 WASHINGTON RD APT. 208, KENOSHA, WI 53144
(414) 551-2555
Mailing address
5422 WASHINGTON RD APT 208, KENOSHA, WI 53144-4271
(414) 551-2555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
10328125
WI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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