Organization
HAPPY LIVING INTELLECTUAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE QUNEE' ALLEN PMHNP-BC (PMHNP)
(414) 795-7352
Entity
Organization
Contact information
Practice address
5202 W LISBON AVE, MILWAUKEE, WI 53210-2749
(414) 795-7352
Mailing address
5202 W LISBON AVE, MILWAUKEE, WI 53210-2749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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