Individual
VALENCIA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 716-6221
(414) 918-8218
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 716-6221
(414) 918-8218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
539-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285807669
—
WI
Enumeration date
06/30/2021
Last updated
06/30/2021
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