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NPI Code Detail

MEDICARE: AZIZA DAHER LPC

MEDICARE:   AZIZA  DAHER  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
1101YP2500XProfessional Counselor3247-226WI
2101YP2500XProfessional Counselor6820-125WI

General Provider Information

NPI Number : 1891244588
Entity Type Code : Individual
Provider Name (Legal Business Name) : AZIZA DAHER LPC
Provider Business Mailing Address
First Line : 3505 N 124TH ST
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-2489
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3927 S HOWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-4421
Country : US
Telephone Number : 844-458-4210
Fax Number : 414-247-9004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2016
Last Update Date : 12/06/2018

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Directions to “ AZIZA DAHER LPC” Practice Location

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