Forward Path Mke
NPI #1407713563 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1407713563
- Entity Type
- Organization
- Organization Name
- Forward Path Mke
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jan 8, 2026
- Last Updated
- Jan 8, 2026
Practice Location
- Address
- 2054 S 96TH ST
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-1425
- Phone
- (262) 450-5767
Authorized Official
- Name
- MR. JUAN CORRAL JR., M.S.,LPC, CSAT
- Title
- MENTAL HEALTH THERAPIST
- Phone
- (262) 450-5767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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