Individual
TYESHA SHAREE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3790 N 12TH ST, MILWAUKEE, WI 53206-3003
(414) 562-3332
Mailing address
3790 N 12TH ST, MILWAUKEE, WI 53206-3003
(414) 562-3332
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
48226
WI
103TC0700X
Clinical Psychologist
Primary
36934
TX
Other
Enumeration date
07/26/2010
Last updated
03/07/2017
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