Organization
VERMILLION COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA VERMILLION MA, LPC (OWNER)
(414) 801-1809
Entity
Organization
Contact information
Practice address
2230 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-1330
(414) 209-4235
Mailing address
2226 S KINNICKINNIC AVE # 1, MILWAUKEE, WI 53207-1330
(414) 209-4235
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081646
—
WI
Enumeration date
01/26/2022
Last updated
12/22/2022
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