Individual
MELANIE WASCHBISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 891-6600
(262) 891-6602
Mailing address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 891-6600
(262) 891-6602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7582-125
WI
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558993105
—
WI
Enumeration date
02/11/2020
Last updated
08/15/2023
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