Organization
KARISSA VOGEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA LYNN YOUNG (OWNER)
(920) 450-7929
Entity
Organization
Contact information
Practice address
7251 W NORTH AVE, WAUWATOSA, WI 53213-1851
(414) 258-6000
Mailing address
7251 W NORTH AVE, WAUWATOSA, WI 53213-1851
(414) 258-6000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8291-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407082092
—
WI
Enumeration date
06/15/2015
Last updated
06/15/2015
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