Individual
MR. MICHAEL ANTHONY ALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
6809 122ND AVE, KENOSHA, WI 53142-7335
(224) 715-5743
Mailing address
6809 122ND AVE, KENOSHA, WI 53142-7335
(262) 654-8633
(262) 654-5467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8751
WI
101YP2500X
Professional Counselor
Primary
180006395
IL
Other
Enumeration date
05/12/2009
Last updated
08/23/2023
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