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NPI Code Detail

MEDICARE: CLAIRE WHETTER LPC

MEDICARE:   CLAIRE  WHETTER  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 Counselor8445-125WI

General Provider Information

NPI Number : 1982353942
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE WHETTER LPC
Provider Business Mailing Address
First Line : 2165 N 64TH ST
Second Line :
City : WAUWATOSA
State : WI
Zip : 53213-2027
Country : US
Telephone Number : 414-690-2628
Fax Number :
Provider Business Practice Location Address
First Line : 4530 N OAKLAND AVE
Second Line :
City : WHITEFISH BAY
State : WI
Zip : 53211-1215
Country : US
Telephone Number : 414-215-0213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2022
Last Update Date : 03/18/2022

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Directions to “ CLAIRE WHETTER LPC” Practice Location

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