Individual
LASHUNN PATRICE QAASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT,CSAC,CS-IT
Contact information
Practice address
2814 S 108TH ST, WEST ALLIS, WI 53227-3224
(414) 885-3525
Mailing address
4651 N 46TH ST, MILWAUKEE, WI 53218-5210
(414) 588-8759
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16605-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17508-130
WI
101YM0800X
Mental Health Counselor
3215-226
WI
101YP2500X
Professional Counselor
Primary
3215-226
WI
Other
Enumeration date
09/17/2019
Last updated
05/14/2026
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