Individual
MS. JULIE ANNA REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2266 N PROSPECT AVE, 4TH FLOOR, MILWAUKEE, WI 53211
(414) 962-1200
(414) 962-2305
Mailing address
PO BOX 11564, 2266 N PROSPECT AVE 4TH FLOOR, MILWAUKEE, WI 53211
(414) 962-1200
(414) 962-2305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
15259-132
WI
101Y00000X
Counselor
15328-133
WI
101Y00000X
Counselor
Primary
2130-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15259132
CSAC DEPT OF REG & LIC
WI
01
—
15328133
CSIT DEPT OF REG & LIC
WI
05
—
39173600
—
WI
Enumeration date
09/28/2007
Last updated
08/19/2014
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