Individual
MRS. MONSERRATT ITZAYANA DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
800 WISCONSIN AVE, RACINE, WI 53403-1526
(262) 637-8888
Mailing address
800 WISCONSIN AVE, RACINE, WI 53403-1526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8183-226
WI
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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