Organization
FORWARD PATH MKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CORRAL JR. M.S.,LPC, CSAT (MENTAL HEALTH THERAPIST)
(262) 450-5767
Entity
Organization
Contact information
Practice address
2054 S 96TH ST, WEST ALLIS, WI 53227-1425
(262) 450-5767
Mailing address
2054 S 96TH ST, WEST ALLIS, WI 53227-1425
(262) 450-5767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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