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Individual

FAITH OLIVIA ANTHONY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT

Contact information

Practice address
435 N BROADWAY # A3, DE PERE, WI 54115-2515
(715) 842-9500
(715) 848-0425
Mailing address
1521 W KILBOURN AVE APT 301, MILWAUKEE, WI 53233-1720
(317) 954-3197

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8467-226
WI
101YM0800X
Mental Health Counselor
Primary
WI

Other

Enumeration date
03/31/2025
Last updated
03/02/2026
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