person
Dr. Victoria Irene Miller Sepulveda, PHD,LPC,CSAC,NC
Professional Counselor in Port Washington, Wisconsin
NPI 1417363292

Victoria Irene Miller Sepulveda is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Victoria Irene Miller Sepulveda practices in Port Washington, WI and has the professional credentials of PHD,LPC,CSAC,NC. The NPI Number for Victoria Irene Miller Sepulveda is 1417363292 and holds a License No. 15861-132 (Wisconsin).

The current practice location address for Victoria Irene Miller Sepulveda is 116 W Grand Ave Ste 104, Port Washington, WI and can be reached out via phone at 262-394-1829.

Location: 116 W Grand Ave Ste 104, Port Washington, WI, 53217-8092
person
Provider Profile Details
NPI Number
1417363292
Provider Name
Victoria Irene Miller Sepulveda
Credential
PHD,LPC,CSAC,NC
Provider Entity Type
Individual
Gender
Female
Address
116 W Grand Ave Ste 104, Port Washington, WI, 53217-8092
Phone Number
262-394-1829
Fax Number
Provider Enumeration Date
07/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
116 W Grand Ave Ste 104
City
State
Zip
53074-2242
Phone Number
262-394-1829
Fax Number
person
Provider Business Mailing Address Details
Address
116 W Grand Ave Ste 104
City
State
Zip
53074-2242
Phone Number
262-394-1829
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5482-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15861-132 (Wisconsin)
Definition
Definition to come...
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