person
Mrs. Miriam E Corona, LPC,CSAC
Professional Counselor in Kenosha, Wisconsin
NPI 1649745340

Miriam E Corona is a Professional Counselor based in Sturtevant, WI and is specialized in Professional. Miriam E Corona practices in Kenosha, WI and has the professional credentials of LPC,CSAC. The NPI Number for Miriam E Corona is 1649745340 and holds a License No. 16627-132 (Wisconsin).

The current practice location address for Miriam E Corona is 6121 Green Bay Rd Ste 200, Kenosha, WI and can be reached out via phone at 262-864-1141 and via fax at 262-351-0132.

Location: 6121 Green Bay Rd Ste 200, Kenosha, WI, 53177-1806
person
Provider Profile Details
NPI Number
1649745340
Provider Name
Miriam E Corona
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
6121 Green Bay Rd Ste 200, Kenosha, WI, 53177-1806
Phone Number
262-864-1141
Fax Number
262-351-0132
Provider Enumeration Date
10/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6121 Green Bay Rd Ste 200
City
State
Zip
53142-2931
Phone Number
262-864-1141
Fax Number
262-351-0132
person
Provider Business Mailing Address Details
Address
6121 Green Bay Rd Ste 200
City
State
Zip
53142-2931
Phone Number
262-864-1141
Fax Number
262-351-0132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
8781-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16627-132 (Wisconsin)
Definition
Definition to come...
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