Ryvan Counseling Services, Llc | |
933 N. Mayfair Rd. Ste #101 Wauwatosa WI 53226-3432 | |
(414) 375-5444 | |
Not Available |
Full Name | Ryvan Counseling Services, Llc |
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Speciality | Counselor - Professional |
Location | 933 N. Mayfair Rd. Ste #101, Wauwatosa, Wisconsin |
Authorized Official Name and Position | Elishia Pulliam (CLINICIAN) |
Authorized Official Contact | 4143755444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ryvan Counseling Services, Llc 933 N. Mayfair Rd. Ste #101 Wauwatosa WI 53226-3432 Ph: (414) 375-5444 | Ryvan Counseling Services, Llc 933 N. Mayfair Rd. Ste #101 Wauwatosa WI 53226-3432 Ph: (414) 375-5444 |
NPI Number | 1942045224 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 09/11/2024 |
Certification Date | 09/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942045224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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