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La Shanda Tolefree, BA,MS
Professional Counselor in Kenosha, Wisconsin
NPI 1003350422

La Shanda Tolefree is a Professional Counselor based in Kenosha, WI and is specialized in Professional. La Shanda Tolefree practices in Kenosha, WI and has the professional credentials of BA,MS. The NPI Number for La Shanda Tolefree is 1003350422 and holds a License No. 17018131 (Wisconsin).

The current practice location address for La Shanda Tolefree is 3536 52Nd St, Kenosha, WI and can be reached out via phone at 262-842-0538 and via fax at 262-842-0539.

Location: 3536 52Nd St, Kenosha, WI, 53144-2662
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Provider Profile Details
NPI Number
1003350422
Provider Name
La Shanda Tolefree
Credential
BA,MS
Provider Entity Type
Individual
Gender
Female
Address
3536 52Nd St, Kenosha, WI, 53144-2662
Phone Number
262-842-0538
Fax Number
262-842-0539
Provider Enumeration Date
12/05/2016
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100227567 05 WI
17018131 01 WI SUBSTANCE ABUSE COUNSELOR
8095125 01 WI LICENSED PROFESSIONAL COUNSELOR
institution
Provider Business Practice Location Address Details
Address
3536 52Nd St
City
State
Zip
53144-2662
Phone Number
262-842-0538
Fax Number
262-842-0539
person
Provider Business Mailing Address Details
Address
3536 52Nd St
City
State
Zip
53144-2662
Phone Number
262-842-0538
Fax Number
262-842-0539
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
8095-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
17018131 (Wisconsin)
Definition
Definition to come...
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