Individual
MS. DANA ELISE EMOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(262) 244-6177
(262) 299-3040
Mailing address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 244-6178
(262) 299-3040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7567-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116196
—
WI
Enumeration date
10/06/2020
Last updated
10/27/2020
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