person
Stephanie L Mayberry, LPC
Mental Health Counselor in Kenosha, Wisconsin
NPI 1013559855

Stephanie L Mayberry is a Mental Health Counselor based in Kenosha, WI and is specialized in Mental Health. Stephanie L Mayberry practices in Kenosha, WI and has the professional credentials of LPC. The NPI Number for Stephanie L Mayberry is 1013559855 and holds a License No. 7442-125 (Wisconsin).

The current practice location address for Stephanie L Mayberry is 6127 Green Bay Rd Ste 200, Kenosha, WI and can be reached out via phone at 262-654-8366 and via fax at 262-842-0444.

Location: 6127 Green Bay Rd Ste 200, Kenosha, WI, 53142-2929
person
Provider Profile Details
NPI Number
1013559855
Provider Name
Stephanie L Mayberry
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6127 Green Bay Rd Ste 200, Kenosha, WI, 53142-2929
Phone Number
262-654-8366
Fax Number
262-842-0444
Provider Enumeration Date
10/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7442-125 01 WI PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
6127 Green Bay Rd Ste 200
City
State
Zip
53142-2929
Phone Number
262-654-8366
Fax Number
262-842-0444
person
Provider Business Mailing Address Details
Address
6127 Green Bay Rd Ste 200
City
State
Zip
53142-2929
Phone Number
262-654-8366
Fax Number
262-842-0444
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7442-125 (Wisconsin)
Definition
Definition to come...
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