Individual
ANDREA ARCISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
10045 WEST LISBON AVENUE, WAUWATOSA, WI 53222-2446
(414) 358-7144
(414) 358-7158
Mailing address
10045 WEST LISBON AVENUE, WAUWATOSA, WI 53222-2446
(414) 358-7144
(414) 358-7158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42210400
—
WI
01
—
44320
MEDICARE ID-TYPE UNSPECIFIED
WI
Enumeration date
02/05/2010
Last updated
02/05/2010
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