Individual
MADELINE ELIZABETH LING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
(714) 600-4110
Mailing address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
(714) 600-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8189-125
WI
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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