Individual
MS. MARIE-THERESE HELLRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
5555 N PORT WASHINGTON RD STE 200, SUITE 100, GLENDALE, WI 53217-4927
(262) 789-1191
Mailing address
7031 N ARDARA AVE, GLENDALE, WI 53209-2921
(414) 899-7996
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
740-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43709700
—
WI
Enumeration date
11/15/2006
Last updated
01/31/2022
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