person
Ellicia Wilder, LPC-IT,SAC-IT
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1861156473

Ellicia Wilder is a Mental Health Counselor based in Milwaukee, WI and is specialized in Mental Health. Ellicia Wilder practices in Milwaukee, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Ellicia Wilder is 1861156473 and holds a License No. 18729-130 (Wisconsin).

The current practice location address for Ellicia Wilder is 930 W Historic Mitchell St, Milwaukee, WI and can be reached out via phone at 414-383-9526 and via fax at 414-671-6606.

Location: 930 W Historic Mitchell St, Milwaukee, WI, 53204-3533
person
Provider Profile Details
NPI Number
1861156473
Provider Name
Ellicia Wilder
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
930 W Historic Mitchell St, Milwaukee, WI, 53204-3533
Phone Number
414-383-9526
Fax Number
414-671-6606
Provider Enumeration Date
10/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
930 W Historic Mitchell St
City
State
Zip
53204-3533
Phone Number
414-383-9526
Fax Number
414-671-6606
person
Provider Business Mailing Address Details
Address
930 W Historic Mitchell St
City
State
Zip
53204-3533
Phone Number
414-383-9526
Fax Number
414-671-6606
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4482-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18729-130 (Wisconsin)
Definition
Definition to come...
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