Individual
REGINA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6650 W STATE ST STE D-188, WAUWATOSA, WI 53213-2827
(414) 667-7575
Mailing address
6650 W STATE ST STE D-188, WAUWATOSA, WI 53213-2827
(414) 667-7575
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11436-125
WI
Other
Enumeration date
07/31/2021
Last updated
11/26/2024
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