Individual
VANESSA CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8157
Mailing address
502 MAIN ST, KEWASKUM, WI 53040-9792
(708) 712-3592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8541-226
WI
104100000X
Social Worker
8541-226
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
8541-226
WI
Other
Enumeration date
04/14/2022
Last updated
08/25/2025
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