Organization
VICTORIA SEPULVEDA, PHD, LLC
Active
Other names
Becker-Gibeau Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA IRENE MILLER SEPULVEDA PH.D., LPC, CSAC (COUNSELOR)
(419) 377-5836
Entity
Organization
Contact information
Practice address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(262) 377-2006
(262) 377-5552
Mailing address
14135 N CEDARBURG RD, MEQUON, WI 53097-1416
(262) 377-2006
(262) 377-5552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5482-125
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15861-132
WI
101YP2500X
Professional Counselor
Primary
5482-125
WI
Other
Enumeration date
01/13/2015
Last updated
01/14/2015
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