| Inner Journey Consulting Llc | |
|
1505 N. 60th Street Wauwatosa WI 53208-2153 | |
| (414) 526-0982 | |
| Not Available |
| Full Name | Inner Journey Consulting Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1505 N. 60th Street, Wauwatosa, Wisconsin |
| Authorized Official Name and Position | Carl T Vitense (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4145260982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Journey Consulting Llc 1505 N. 60th Street Wauwatosa WI 53208-2153 Ph: (414) 526-0982 | Inner Journey Consulting Llc 1505 N. 60th Street Wauwatosa WI 53208-2153 Ph: (414) 526-0982 |
| NPI Number | 1639816366 |
|---|---|
| Provider Enumeration Date | 05/15/2022 |
| Last Update Date | 05/15/2022 |
| Certification Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639816366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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