Carly Wallner

NPI #1801525795 in Port Washington, Wisconsin

Provider Information

NPI Number: 1801525795
Entity Type: Individual
Name: Carly Wallner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jun 7, 2022
Last Updated: Jul 10, 2024

Practice Location

Address: 121 W MAIN ST
City: Port Washington
State: Wisconsin
ZIP Code: 53074-1813
Phone: (262) 238-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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