Individual
LAURA CECCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1220 DEWEY AVE, BUILDING #11, DEWEY CENTER, WAUWATOSA, WI 53213-2504
(414) 454-6633
(414) 454-6747
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15831-131
WI
101YM0800X
Mental Health Counselor
4906-125
WI
101YP2500X
Professional Counselor
Primary
4906-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028290
—
WI
Enumeration date
01/23/2013
Last updated
12/08/2021
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