Individual
MS. ROXANNE NOELLE LE BEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, CADC
Contact information
Practice address
1220 MOUND AVE, SUITE 301, RACINE, WI 53404-3350
(262) 633-3591
(262) 633-2619
Mailing address
1220 MOUND AVE, SUITE 301, RACINE, WI 53404-3350
(262) 633-3591
(262) 633-2619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21984
IL
101YP2500X
Professional Counselor
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21984
CADC
IL
05
—
40961600
—
WI
Enumeration date
10/02/2006
Last updated
09/11/2025
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