Individual
DIANE PHILIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 222, BROOKFIELD, WI 53005-5936
(414) 588-0969
Mailing address
16535 W BLUEMOUND RD, SUITE 222, BROOKFIELD, WI 53005-5936
(414) 588-0969
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4469-125
WI
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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