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Individual

LOUISE A SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-IT, SAC-IT

Contact information

Practice address
3200 SHERIDAN RD STE 104, KENOSHA, WI 53140-1921
(262) 997-9411
Mailing address
3200 SHERIDAN RD STE 104, KENOSHA, WI 53140-1921
(262) 997-9411
(262) 997-3844

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19568
WI
101YP2500X
Professional Counselor
Primary
4977-226
WI

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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