Individual
SAMANTHA WANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
2600 N MAYFAIR RD STE 650, WAUWATOSA, WI 53226-1322
(414) 771-9304
Mailing address
110 S LOMBARD ST, MAHOMET, IL 61853-9202
(217) 586-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12440-125
WI
101YM0800X
Mental Health Counselor
Primary
178.013199
IL
Other
Enumeration date
03/19/2022
Last updated
05/27/2026
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