MELISSA L SUNDBLOM LPC
NPI 1114438389
Counselor - Professional in Milwaukee, WI
- Individual
- Female
- Counselor
- Professional
About MELISSA SUNDBLOM
This page provides the complete NPI Profile along with additional information for Melissa Sundblom, a provider established in Milwaukee, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1114438389 assigned on October 2017. The practitioner's primary taxonomy code is 101YP2500X with license number 3704-226 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1114438389 Verify this NPI
- Provider Name
- MELISSA L SUNDBLOM LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2669 N RICHARDS ST MILWAUKEE, WI 53212
- Location Phone
- (800) 438-1772
- Location Fax
- (262) 293-9737
- Mailing Address
- W175N11120 STONEWOOD DR GERMANTOWN, WI 53022
- Mailing Phone
- (800) 438-1772
- Mailing Fax
- (262) 293-9737
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-16-2017
- Last Update Date
- 10-16-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3704-226
- License State
- WI
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
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.
