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NPI Code Detail

MEDICARE: ALEXANDRA DEVINE YARMULNIK LPC

MEDICARE: ALEXANDRA DEVINE YARMULNIK 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 Counselor4377226WI

General Provider Information

NPI Number : 1124689146
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA DEVINE YARMULNIK LPC
Provider Business Mailing Address
First Line : 5726 S 113TH ST
Second Line :
City : HALES CORNERS
State : WI
Zip : 53130-1806
Country : US
Telephone Number : 414-791-3130
Fax Number :
Provider Business Practice Location Address
First Line : 6213 N GREEN BAY AVE
Second Line :
City : GLENDALE
State : WI
Zip : 53209-3823
Country : US
Telephone Number : 414-235-7443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2019
Last Update Date : 11/07/2025

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