Individual
JUDITH GERALYN TEGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5555 N PORT WASHINGTON RD, SUITE 200, GLENDALE, WI 53217-4929
(262) 789-1191
(414) 967-7965
Mailing address
5555 N PORT WASHINGTON RD, SUITE 200, GLENDALE, WI 53217-4929
(262) 789-1191
(414) 967-7965
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-088745
GROUP MEDICARE (P-TAN) MILWAUKEE COUNTY
WI
05
—
42170300
—
WI
Enumeration date
05/22/2013
Last updated
05/22/2013
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