Individual
IMMANUEL RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, SAC-T, NCC
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
Mailing address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 463-1880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4064-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099141
—
WI
Enumeration date
12/19/2018
Last updated
11/13/2020
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