Individual
NEERAJ AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA
Contact information
Practice address
7332 W STATE ST # LL, WAUWATOSA, WI 53213-2766
(414) 628-3457
(414) 240-9345
Mailing address
7332 W STATE ST # LL, WAUWATOSA, WI 53213-2766
(414) 628-3457
(414) 240-9345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11544
WI
101YP2500X
Professional Counselor
Primary
2847
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43553100
—
WI
Enumeration date
08/18/2010
Last updated
10/27/2023
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