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Individual

ALISSA K DARIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
383 WILLIAMSTOWNE STE 101, DELAFIELD, WI 53018-2332
(262) 337-9770
(262) 337-9771
Mailing address
106 DAIRY AVE, WAUKESHA, WI 53188-2679
(262) 337-9770

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10111-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10111-125
STATE LICENSE
WI
Enumeration date
11/25/2022
Last updated
11/25/2022
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