Individual
TRISHA WOLLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.; S.A.C.
Contact information
Practice address
150 N SUNNYSLOPE RD, STE 372, BROOKFIELD, WI 53005-4806
(414) 302-1233
(262) 788-9662
Mailing address
150 N SUNNYSLOPE RD, STE 372, BROOKFIELD, WI 53005-4806
(414) 302-1233
(262) 788-9662
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14168
WI
101YM0800X
Mental Health Counselor
14168-131
WI
1041C0700X
Clinical Social Worker
Primary
8709-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306938527
—
WI
Enumeration date
09/28/2006
Last updated
04/08/2024
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