Individual
MR. JUAN CORRAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
5508 W VLIET ST, MILWAUKEE, WI 53208-2120
(262) 450-5767
Mailing address
5508 W VLIET ST, MILWAUKEE, WI 53208-2120
(262) 450-5767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12199-125
WI
101YM0800X
Mental Health Counselor
7139-226
WI
Other
Enumeration date
12/13/2022
Last updated
12/04/2025
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