Individual
SELENA L LETTEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, ICS
Contact information
Practice address
10427 W LINCOLN AVE STE 1800, WEST ALLIS, WI 53227-1200
(414) 361-2261
(262) 895-2291
Mailing address
7957 W WIND LAKE RD STE E, WATERFORD, WI 53185-2234
(608) 561-8656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18405-130
WI
101YP2500X
Professional Counselor
Primary
7262-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095395
—
WI
Enumeration date
11/25/2019
Last updated
06/10/2026
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