Mequon Clinical Associates, SC
Mequon Clinical Associates, SC is a Professional Counselor in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
1045 W Glen Oaks Ln Ste 1Mequon, WI 53092-3467
Phone: (262) 241-7778
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 2428-226 (WI) |
|---|
Record details
| NPI number | 1750774766 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Taxman — Medical Director · (262) 241-7778 |
| NPI enumerated | March 16, 2015 |
| Last updated in NPPES | March 16, 2015 |
| Mailing address | 1045 W Glen Oaks Ln, Suite 1, Mequon, WI 53092-3467 |
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Mrs. Alyssa Joy Latin-Kasper, LPC-IT
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-
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