person
Ms. Fannie M. Leflore, MS,LPC,CADC-D
Mental Health Counselor in Glendale, Wisconsin
NPI 1063464436

Fannie M. Leflore is a Mental Health Counselor based in Milwaukee, WI and is specialized in Mental Health. Fannie M. Leflore practices in Glendale, WI and has the professional credentials of MS,LPC,CADC-D. The NPI Number for Fannie M. Leflore is 1063464436 and holds a License No. 13220 (Wisconsin).

The current practice location address for Fannie M. Leflore is 6310 N Port Washington Rd, Glendale, WI and can be reached out via phone at 414-438-1534. You can also correspond with Fannie M. Leflore through the mailing address at PO BOX 18376, MILWAUKEE, WI - 53218-0376 (mailing address contact number: 414-438-1534).

Location: 6310 N Port Washington Rd, Glendale, WI, 53218-0376
person
Provider Profile Details
NPI Number
1063464436
Provider Name
Fannie M. Leflore
Credential
MS,LPC,CADC-D
Provider Entity Type
Individual
Gender
Female
Address
6310 N Port Washington Rd, Glendale, WI, 53218-0376
Phone Number
414-438-1534
Fax Number
Provider Enumeration Date
05/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2250-125 01 WI LICENSED PROF COUNSELOR
40920600 05 WI
13220 01 WI CADC-D
institution
Provider Business Practice Location Address Details
Address
6310 N Port Washington Rd
City
State
Zip
53217-4300
Phone Number
414-438-1534
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 18376
City
State
Zip
53218-0376
Phone Number
414-438-1534
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2250-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13220 (Wisconsin)
Definition
Definition to come...
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