Healthcare Provider Details

I. General information

NPI: 1689212995
Provider Name (Legal Business Name): YASMIN KARCE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 GREEN BAY RD STE 2
KENOSHA WI
53142-2967
US

IV. Provider business mailing address

6525 GREEN BAY RD STE 2
KENOSHA WI
53142-2967
US

V. Phone/Fax

Practice location:
  • Phone: 262-999-3495
  • Fax:
Mailing address:
  • Phone: 262-999-3495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10196-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: