Individual
CHRISTINE WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
4906 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2325
(414) 449-4777
(414) 270-2971
Mailing address
4906 W FOND DU LAC AVE, MILWAUKEE, WI 53216-2325
(414) 449-4777
(414) 270-2971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8894
WI
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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