person
Amanda L Gragg, LPC
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1033455324

Amanda L Gragg is a Mental Health Counselor based in Chicago, WI and is specialized in Mental Health. Amanda L Gragg practices in Milwaukee, WI and has the professional credentials of LPC. The NPI Number for Amanda L Gragg is 1033455324 and holds a License No. 4828125 (Wisconsin).

The current practice location address for Amanda L Gragg is 1020 N 12Th St, Milwaukee, WI and can be reached out via phone at 414-773-4312.

Location: 1020 N 12Th St, Milwaukee, WI, 60673-5044
person
Provider Profile Details
NPI Number
1033455324
Provider Name
Amanda L Gragg
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1020 N 12Th St, Milwaukee, WI, 60673-5044
Phone Number
414-773-4312
Fax Number
Provider Enumeration Date
12/14/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100027409 05 WI
institution
Provider Business Practice Location Address Details
Address
1020 N 12Th St
City
State
Zip
53233-1308
Phone Number
414-773-4312
Fax Number
person
Provider Business Mailing Address Details
Address
1020 N 12Th St
City
State
Zip
53233-1308
Phone Number
414-773-4312
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4828 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4828125 (Wisconsin)
Definition
Definition to come...
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