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Mrs. Judy Wang Lue Bertoni, CSAC,ICS,LPC
Professional Counselor in Elm Grove, Wisconsin
NPI 1215073747

Judy Wang Lue Bertoni is a Professional Counselor based in Elm Grove, WI and is specialized in Professional. Judy Wang Lue Bertoni practices in Elm Grove, WI and has the professional credentials of CSAC,ICS,LPC. The NPI Number for Judy Wang Lue Bertoni is 1215073747 and holds a License No. 7102-125 (Wisconsin).

The current practice location address for Judy Wang Lue Bertoni is 12970 W Bluemound Rd Ste 200, Elm Grove, WI and can be reached out via phone at 262-780-1020.

Location: 12970 W Bluemound Rd Ste 200, Elm Grove, WI, 53122-2607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215073747
Provider Name
Judy Wang Lue Bertoni
Credential
CSAC,ICS,LPC
Provider Entity Type
Individual
Gender
Female
Address
12970 W Bluemound Rd Ste 200, Elm Grove, WI, 53122-2607
Phone Number
262-780-1020
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42020200 05 WI
institution
Provider Business Practice Location Address Details
Address
12970 W Bluemound Rd Ste 200
City
Elm Grove
State
Wisconsin
Zip
53122-2607
Phone Number
262-780-1020
Fax Number
person
Provider Business Mailing Address Details
Address
12970 W Bluemound Rd Ste 200
City
Elm Grove
State
Wisconsin
Zip
53122-2607
Phone Number
262-780-1020
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15133 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
15464-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
7102-125 (Wisconsin)
Definition
Definition to come...
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