Individual
HALEY A CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6508
(608) 741-6918
Mailing address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15739-131
WI
101YM0800X
Mental Health Counselor
4658-125
WI
101YP2500X
Professional Counselor
Primary
4658-125
WI
Other
Enumeration date
04/10/2012
Last updated
02/05/2019
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