Individual
IESHA V SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7720 W GOOD HOPE RD, MILWAUKEE, WI 53223-4516
(414) 536-0236
(414) 536-0260
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6077-125
WI
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962923276
—
WI
Enumeration date
06/28/2017
Last updated
03/23/2022
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