Organization
EMERALD INTEGRATIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA CRIVELLO LPC (OWNER / PSYCHOTHERAPIST)
(715) 563-4876
Entity
Organization
Contact information
Practice address
136 N MAIN ST STE 201, THIENSVILLE, WI 53092-1606
(715) 563-4876
Mailing address
12442 N CENTER DR, MEQUON, WI 53092-2601
(715) 563-4876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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