MEDICARE: ERIN STENUM MS, LPC-IT, NCC

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	12333-125	WI
2	101YP2500X	Professional Counselor	PAR-0000392019	WI

General Provider Information

NPI Number	:	1700621034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN STENUM MS, LPC-IT, NCC

Provider Business Mailing Address
First Line	:	620 S 76TH ST STE 240
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53214-1599
Country	:	US
Telephone Number	:	414-262-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 S 76TH ST STE 240
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53214-1599
Country	:	US
Telephone Number	:	414-292-4242
Fax Number	:

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

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	02/10/2026

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