person
Carly Wallner
Professional Counselor in Port Washington, Wisconsin
NPI 1801525795

Carly Wallner is a Professional Counselor based in Port Washington, WI and is specialized in Professional. Carly Wallner practices in Port Washington, WI. The NPI Number for Carly Wallner is 1801525795 and holds a License No. 8355-125 (Wisconsin).

The current practice location address for Carly Wallner is 121 W Main St, Port Washington, WI and can be reached out via phone at 262-238-8130.

Location: 121 W Main St, Port Washington, WI, 53074-1813
person
Provider Profile Details
NPI Number
1801525795
Provider Name
Carly Wallner
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 W Main St, Port Washington, WI, 53074-1813
Phone Number
262-238-8130
Fax Number
Provider Enumeration Date
06/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 W Main St
City
State
Zip
53074-1813
Phone Number
262-238-8130
Fax Number
person
Provider Business Mailing Address Details
Address
121 W Main St
City
State
Zip
53074-1813
Phone Number
262-238-8130
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
8355-125 (Wisconsin)
Definition
Definition to come...
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