Individual
MICHAEL PAUL ROSPENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, SAC
Contact information
Practice address
17100 W NORTH AVE STE 300, BROOKFIELD, WI 53005-4436
(414) 244-6177
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 240-0299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16374-131
WI
1041C0700X
Clinical Social Worker
Primary
9185-123
WI
Other
Enumeration date
02/05/2016
Last updated
09/03/2021
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