MEDICARE: CLAIRE MAILLEFER

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	12257125	WI

General Provider Information

NPI Number	:	1619726981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE MAILLEFER

Provider Business Mailing Address
First Line	:	1100 S 5TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2449
Country	:	US
Telephone Number	:	414-367-8168
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 S 5TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2449
Country	:	US
Telephone Number	:	414-367-8168
Fax Number	:

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

Provider Enumeration Date	:	05/17/2024
Last Update Date	:	02/10/2026

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Directions to “ CLAIRE MAILLEFER ” Practice Location

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