Individual
MELISSA PTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15850 W BLUEMOUND RD STE 208, BROOKFIELD, WI 53005-6007
(262) 719-3824
Mailing address
15850 W BLUEMOUND RD, BROOKFIELD, WI 53005-6022
(262) 719-3824
(262) 641-9040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6171-125
WI
Other
Enumeration date
07/10/2017
Last updated
12/18/2018
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