Individual
PETER TRUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCIT, SACIT
Contact information
Practice address
9026 12TH STREET, SOMERS, WI 53171-0295
(800) 438-1772
(262) 293-9737
Mailing address
W175 N1110 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17477-130
WI
101YP2500X
Professional Counselor
Primary
2618-226
WI
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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