Individual
ANGELA POVLETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5007 S HOWELL AVE STE 350, MILWAUKEE, WI 53207-6159
(262) 789-1191
Mailing address
5007 S HOWELL AVE STE 350, MILWAUKEE, WI 53207-6159
(262) 789-1191
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5505-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42170300
—
WI
Enumeration date
12/12/2013
Last updated
12/12/2019
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