Individual
MORGAN L VANDERLOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1500 ARBOR WAY, KAUKAUNA, WI 54130-7305
(920) 766-3200
(920) 759-3000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7498
WI
101YP2500X
Professional Counselor
7498-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094476
—
WI
Enumeration date
10/01/2019
Last updated
07/05/2024
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