Organization
SHORE COUNSELING AND CONSULTING CLINIC, S.C.
Active
Organization
SHORE COUNSELING AND CONSULTING CLINIC, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS TROAST PHD (CLINICAL DIRECTOR)
(414) 771-9304
Entity
Organization
Contact information
Practice address
2600 N MAYFAIR RD, SUITE 650, MILWAUKEE, WI 53226-1309
(414) 771-9304
(414) 771-9543
Mailing address
2600 N MAYFAIR RD, SUITE 650, MILWAUKEE, WI 53226-1309
(414) 771-9304
(414) 771-9543
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42247200
—
WI
Enumeration date
01/26/2007
Last updated
08/04/2015
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