MEDICARE: MS. ERIN CADD PEREZ-HUGHES M.A., 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	101Y00000X	Counselor	5058-125	WI
2	101YP2500X	Professional Counselor		WI

General Provider Information

NPI Number	:	1487091211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN CADD PEREZ-HUGHES M.A., LPC

Provider Business Mailing Address
First Line	:	1245 CHEYENNE AVE STE 201
Second Line	:
City	:	GRAFTON
State	:	WI
Zip	:	53024-9323
Country	:	US
Telephone Number	:	414-559-0050
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 CHEYENNE AVE STE 201
Second Line	:
City	:	GRAFTON
State	:	WI
Zip	:	53024-9323
Country	:	US
Telephone Number	:	414-559-0050
Fax Number	:

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

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	10/26/2023

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