| Milwaukee Counselor | |
|
11345 N Port Washington Rd Ste 204 Mequon WI 53092-3411 | |
| (262) 236-5135 | |
| Not Available |
| Full Name | Milwaukee Counselor |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11345 N Port Washington Rd Ste 204, Mequon, Wisconsin |
| Authorized Official Name and Position | Patrick Schultz (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 2622365135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milwaukee Counselor 11345 N Port Washington Rd Ste 204 Mequon WI 53092-3411 Ph: (262) 236-5135 | Milwaukee Counselor 11345 N Port Washington Rd Ste 204 Mequon WI 53092-3411 Ph: (262) 236-5135 |
| NPI Number | 1609378058 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 09/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609378058 | NPI | - | NPPES |
| 50241041 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5299-125 (Wisconsin) | Primary |
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