Individual
ELISSA BOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
(414) 533-5228
Mailing address
15285 WATERTOWN PLANK RD STE 102, ELM GROVE, WI 53122-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6968-125
WI
101YP2500X
Professional Counselor
Primary
6968-125
WI
Other
Enumeration date
08/22/2018
Last updated
02/06/2024
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