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Individual

LOREN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
16655 W BLUEMOUND RD STE 301, BROOKFIELD, WI 53005-5935
(414) 301-3091
Mailing address
305 PLEASANT ST, EAGLE, WI 53119-2235
(501) 941-9238

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
10007-125
WI
101YM0800X
Mental Health Counselor
10007-125
WI
101YP2500X
Professional Counselor
Primary
10007-125
WI

Other

Enumeration date
09/13/2022
Last updated
08/15/2023
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