Individual
ALEXANDRIA WISTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
385 WILLIAMSTOWNE STE 204, DELAFIELD, WI 53018-2323
(262) 224-0966
Mailing address
4044 ERNST DR, HARTFORD, WI 53027-9584
(262) 224-0966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11516-125
WI
Other
Enumeration date
12/09/2024
Last updated
01/09/2025
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