Organization
INNER JOURNEY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL T VITENSE LCSW (OWNER/PSYCHOTHERAPIST)
(414) 526-0982
Entity
Organization
Contact information
Practice address
1505 N. 60TH STREET, WAUWATOSA, WI 53208-2153
(414) 526-0982
Mailing address
1505 N. 60TH STREET, WAUWATOSA, WI 53208-2153
(414) 526-0982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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