Individual
MR. PEDRO J ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1683
Mailing address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1683
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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