Individual
MRS. SUZANNE K RONQUILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMFT-IT
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8103
Mailing address
3200 W HIGHLAND BLVD, MILWAUKEE, WI 53208-3252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5207-125
WI
106H00000X
Marriage & Family Therapist
Primary
364-228
WI
Other
Enumeration date
08/21/2013
Last updated
06/24/2024
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