Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Dewalt

Individual provider Professional Counselor · NPI 1699933036

Theresa Dewalt is a Professional Counselor in Racine, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

1220 Mound Ave Ste 304
Racine, WI 53404-3350
Phone: (262) 488-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3369-125 (WI)

Record details

NPI number1699933036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2008
Last updated in NPPESMay 31, 2008
Mailing address1220 Mound Ave Ste 304, Racine, WI 53404-3350

Other providers in Racine