Individual
MR. MICHAEL LEO WALLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC, NCC
Contact information
Practice address
6040 W LISBON AVE STE 103, MILWAUKEE, WI 53210-2116
(414) 442-1751
(414) 442-1775
Mailing address
140 N HINE AVE, WAUKESHA, WI 53188-4316
(414) 659-1194
(414) 442-1775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3935-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43703400
—
WI
Enumeration date
03/02/2007
Last updated
10/31/2025
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