Unknown Individual – Mental Health Counselor, NPI 1720002645
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
707, West Moreland Boulevard, Waukesha, Waukesha County, Wisconsin, 53188, United States
SUITE 5
WAUKESHA, WI 531882400
Phone: (262) 542-0123
Fax: (262) 542-1199
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 53188)
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