Individual
JONATHAN MORALES VALADEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCTL
Contact information
Practice address
6025 N GREEN BAY AVE STE 2, MILWAUKEE, WI 53209-3750
(414) 247-0801
Mailing address
2363 S 102ND ST STE 303, WEST ALLIS, WI 53227-2115
(414) 204-5174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12154-125
WI
101YP2500X
Professional Counselor
Primary
12154-125
WI
101YP2500X
Professional Counselor
7339-226
WI
Other
Enumeration date
05/22/2023
Last updated
03/12/2026
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