Individual
LESLIE ANN KONEK-SCHLAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6121 GREEN BAY RD, KENOSHA, WI 53142-2926
(262) 652-7222
(262) 652-1734
Mailing address
4633 WASHINGTON RD, KENOSHA, WI 53144-4220
(262) 652-7222
(262) 652-1734
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2531-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182658
VALUE OPTIONS
—
01
—
234314
MANAGED HEALTH NETWORK
—
05
—
39555200
—
WI
01
—
7093066
AETNA
—
01
—
80448
UNITED BEHAVIORAL HEALTH
—
01
—
900693
CENPATICO BEHAVIORAL HLTH
—
01
—
W009675
TRICARE (CHAMPUS)
—
Enumeration date
12/11/2006
Last updated
10/05/2016
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