Individual
JULIE RUPENA-REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5555 N PORT WASHINGTON RD, 200, GLENDALE, WI 53217-4929
(262) 542-3255
Mailing address
5555 N PORT WASHINGTON RD, 200, GLENDALE, WI 53217-4929
(262) 542-3255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4513-125
WI
Other
Enumeration date
08/27/2010
Last updated
11/08/2011
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