| Pamela F. Elgin Lpc Llc | |
|
216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 | |
| (414) 550-0659 | |
| (262) 236-0288 |
| Full Name | Pamela F. Elgin Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 216 Green Bay Rd, Thiensville, Wisconsin |
| Authorized Official Name and Position | Pamela Franklin Elgin (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4145500659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela F. Elgin Lpc Llc 216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 Ph: (414) 550-0659 | Pamela F. Elgin Lpc Llc 216 Green Bay Rd Suite 204 Thiensville WI 53092-1658 Ph: (414) 550-0659 |
| NPI Number | 1427185982 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427185982 | NPI | - | NPPES |
| 1780799890 | Other | WI | PERSONAL NPI NUMBER |
| 40969700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 189-125 (Wisconsin) | Primary |
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