MEDICARE: ELIZABETH E PIRAINO LPC, CSAC, CCTP, NCC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	16395-132	WI
2	101YM0800X	Mental Health Counselor	6816-125	WI

General Provider Information

NPI Number	:	1629440409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH E PIRAINO LPC, CSAC, CCTP, NCC

Provider Business Mailing Address
First Line	:	9034 W LISBON AVE UNIT 27
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2746
Country	:	US
Telephone Number	:	414-350-7854
Fax Number	:

Provider Business Practice Location Address
First Line	:	9034 W LISBON AVE UNIT 27
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2746
Country	:	US
Telephone Number	:	414-350-7854
Fax Number	:

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

Provider Enumeration Date	:	10/20/2015
Last Update Date	:	06/19/2023

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