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Roger Mack Pumphrey, MA,LPC
Professional Counselor in Milwaukee, Wisconsin
NPI 1669672945

Roger Mack Pumphrey is a Professional Counselor based in Fox Point, WI and is specialized in Professional. Roger Mack Pumphrey practices in Milwaukee, WI and has the professional credentials of MA,LPC. The NPI Number for Roger Mack Pumphrey is 1669672945 and holds a License No. 1328-125 (Wisconsin).

The current practice location address for Roger Mack Pumphrey is 6040 W Lisbon Ave, Milwaukee, WI and can be reached out via phone at 414-871-9111 and via fax at 414-871-9121.

Location: 6040 W Lisbon Ave, Milwaukee, WI, 53217-3463
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Provider Profile Details
NPI Number
1669672945
Provider Name
Roger Mack Pumphrey
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
6040 W Lisbon Ave, Milwaukee, WI, 53217-3463
Phone Number
414-871-9111
Fax Number
414-871-9121
Provider Enumeration Date
07/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39668000 05 WI
institution
Provider Business Practice Location Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-871-9111
Fax Number
414-871-9121
person
Provider Business Mailing Address Details
Address
6040 W Lisbon Ave
City
State
Zip
53210-2116
Phone Number
414-871-9111
Fax Number
414-871-9121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1157-132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1328-125 (Wisconsin)
Definition
Definition to come...
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