Individual
EMMA MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
335 WRIGLEY DR, LAKE GENEVA, WI 53147-2034
(262) 278-0197
Mailing address
1502 27TH ST, KENOSHA, WI 53140-5033
(262) 331-3105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WI
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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