person
Ivy Ellen Jean Phelps, LCSW,CSAC
Addiction (Substance Use Disorder) Counselor in West Allis, Wisconsin
NPI 1720509292

Ivy Ellen Jean Phelps is an Addiction (Substance Use Disorder) Counselor based in West Allis, WI and is specialized in Addiction (Substance Use Disorder). Ivy Ellen Jean Phelps practices in West Allis, WI and has the professional credentials of LCSW,CSAC. The NPI Number for Ivy Ellen Jean Phelps is 1720509292 and holds a License No. 15687-132 (Wisconsin).

The current practice location address for Ivy Ellen Jean Phelps is 2814 S 108Th St, West Allis, WI and can be reached out via phone at 414-885-3525.

Location: 2814 S 108Th St, West Allis, WI, 53227-3224
person
Provider Profile Details
NPI Number
1720509292
Provider Name
Ivy Ellen Jean Phelps
Credential
LCSW,CSAC
Provider Entity Type
Individual
Gender
Female
Address
2814 S 108Th St, West Allis, WI, 53227-3224
Phone Number
414-885-3525
Fax Number
Provider Enumeration Date
07/05/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
person
Provider Business Mailing Address Details
Address
2814 S 108Th St
City
State
Zip
53227-3224
Phone Number
414-885-3525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15687-132 (Wisconsin)
Definition
Definition to come...
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