Organization
CREATIVE STORM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI STORM LPC (OWNER)
(262) 346-5913
Entity
Organization
Contact information
Practice address
1111 55TH ST STE 4, KENOSHA, WI 53140-3611
(262) 346-5913
Mailing address
4308 PENNINGTON LN, MOUNT PLEASANT, WI 53403-3960
(262) 346-5913
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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