Individual
ANDREA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-2932
(414) 266-3735
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4238-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730470360
—
WI
Enumeration date
04/30/2011
Last updated
03/10/2021
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