Individual
CORRIN ELIZABETH VAN LANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 N FRANKLIN ST STE 207, PORT WASHINGTON, WI 53074-1948
(262) 235-4385
Mailing address
127 N FRANKLIN ST STE 207, PORT WASHINGTON, WI 53074-1948
(414) 310-0365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0501216
OH
101YM0800X
Mental Health Counselor
Primary
10299125
WI
Other
Enumeration date
11/14/2019
Last updated
03/06/2023
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