MELISSA L SUNDBLOM LPC
NPI 1114438389
Counselor - Professional in Milwaukee, WI
Active since October 16, 2017
About Melissa L Sundblom Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA L SUNDBLOM LPC (NPI 1114438389) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (3704-226) and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1114438389
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMELISSA L SUNDBLOMCredential: LPC
Location Address2669 N RICHARDS STMilwaukee, WI 53212-2850
Mailing AddressW175n11120 Stonewood DrGermantown, WI 53022-6511 · (800) 438-1772 · Fax (262) 293-9737
Phone(800) 438-1772
Fax(262) 293-9737
Sole ProprietorNo
Enumeration DateOctober 16, 2017
✔ NPI 1114438389 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 3704-226
2669 N RICHARDS ST, Milwaukee, WI 53212
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Psychologist (Counseling)
2669 N RICHARDS ST
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114438389, enumerated as an "individual" on October 16, 2017.
The provider is located at 2669 N RICHARDS ST MILWAUKEE, WI 53212 and the phone number is (800) 438-1772.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
