Individual
CLARISSA KAYE MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
(414) 975-8106
Mailing address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WI
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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