Individual
CARRIE IMOEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4848 S 76TH ST, GREENFIELD, WI 53220-4361
(262) 510-2838
Mailing address
3813 S BROOK PL, ST FRANCIS, WI 53235-4205
(262) 510-5381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8442-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110145
—
WI
Enumeration date
05/18/2020
Last updated
04/07/2025
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