MEDICARE: CHEREE EPPERSON LPC-IT

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	101YM0800X	Mental Health Counselor	7531-226	WI

General Provider Information

NPI Number	:	1790467033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEREE EPPERSON LPC-IT

Provider Business Mailing Address
First Line	:	3344 N BUFFUM ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-1648
Country	:	US
Telephone Number	:	414-530-8812
Fax Number	:

Provider Business Practice Location Address
First Line	:	8500 W NORTH AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-2844
Country	:	US
Telephone Number	:	414-252-5166
Fax Number	:

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

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	08/04/2023

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Directions to “ CHEREE EPPERSON LPC-IT” Practice Location

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