Individual
TIFFANY PANASEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6525 GREEN BAY RD STE 2, KENOSHA, WI 53142-2967
(262) 999-3495
Mailing address
6525 GREEN BAY RD STE 2, KENOSHA, WI 53142-2967
(262) 999-3495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11602-125
WI
101YP2500X
Professional Counselor
7049-226
WI
Other
Enumeration date
05/01/2024
Last updated
04/09/2025
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