Individual
KARISSA VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
933 N MAYFAIR RD STE 101, WAUWATOSA, WI 53226-3432
(414) 939-5115
Mailing address
1829 E JARVIS ST, SHOREWOOD, WI 53211-2020
(262) 745-1942
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4874-125
WI
Other
Enumeration date
04/30/2010
Last updated
08/27/2024
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