Lake Country Therapist

NPI #1962157826 in Hartland, Wisconsin

Provider Information

NPI Number
1962157826
Entity Type
Organization
Organization Name
Lake Country Therapist
Primary Specialty
Social Worker - Clinical
Enumeration Date
Feb 18, 2022
Last Updated
Apr 6, 2022

Practice Location

Address
354 COTTONWOOD AVE STE C
ZIP Code
53029-2011
Phone
(262) 290-3163

Authorized Official

Name
NICOLE DRAKE, LCSW
Title
OWNER
Phone
(414) 405-5067

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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