Individual
MRS. CAROLYN M FERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(414) 356-1357
Mailing address
10622 39TH AVE, PLEASANT PRAIRIE, WI 53158-3821
(262) 914-1207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8473226
WI
Other
Enumeration date
07/23/2025
Last updated
08/18/2025
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