Individual
AIMEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 807-5675
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 807-5675
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2429
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2429
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
08/19/2020
Last updated
09/07/2022
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