Individual
LUKE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 649-2711
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6605-125
WI
101YM0800X
Mental Health Counselor
Primary
6605-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064509
—
WI
01
—
1023064086
GLIIHC NPI
WI
Enumeration date
01/30/2017
Last updated
07/02/2025
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