Individual
LORI STORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2108-63 STREET, KENOSHA, WI 53143-4454
(262) 652-2406
Mailing address
4308 PENNINGTON LN, MOUNT PLEASANT, WI 53403-3960
(262) 346-5913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
10/20/2022
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