Individual provider · NPI-1

Dana Cammilleri, LPC

Counselor, Professional · Racine, WI

NPI number1487885489
StatusActive
Last updated in NPPESOct 15, 2013

Details

NPI
1487885489
Entity type
Individual (NPI-1)
Name
Dana Cammilleri
Credential
LPC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 7, 2009
Last updated
Oct 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional4795-125WIYes

Practice location

420 7th St
Racine, WI 53403-1222

Phone 262-634-2391

Mailing address

420 7th St
Racine, WI 53403-1222

Phone 262-634-2391

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