Individual
KAREN THERESE VANDERVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
N91W17194 APPLETON AVE STE 204, MENOMONEE FALLS, WI 53051-2083
(414) 502-7780
Mailing address
3505 S RIVER GLEN LN APT 2, GREENFIELD, WI 53228-1186
(309) 830-9524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8115-226
WI
101Y00000X
Counselor
C.2304840-TRNE
OH
Other
Enumeration date
01/11/2024
Last updated
06/16/2025
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