MEDICARE: LUCILA C ANGULO DE ARAUJO MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	5513-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629495619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCILA C ANGULO DE ARAUJO MA, LPC

Provider Business Mailing Address
First Line	:	800 WISCONSIN AVE
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53403-1526
Country	:	US
Telephone Number	:	262-637-8888
Fax Number	:	262-637-0695

Provider Business Practice Location Address
First Line	:	503 WISCONSIN AVE
Second Line	:	SUITE 2
City	:	SHEBOYGAN
State	:	WI
Zip	:	53081-4147
Country	:	US
Telephone Number	:	920-458-5726
Fax Number	:	920-458-5826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2014
Last Update Date	:	02/25/2025

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