CARLY WALLNER

Counselor - Mental Health

Active Individual
NPI: 1801525795

Practice Address

121 W MAIN ST
Port Washington, WI 53074

Phone: (262) 238-8130

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 8355-125 (WI)
Counselor - Professional 101YP2500X No 8355-125 (WI)

Frequently Asked Questions

NPI 1801525795 is the National Provider Identifier for CARLY WALLNER, a Counselor - Mental Health provider located in Port Washington, WI. This NPI was enumerated on June 7, 2022.
CARLY WALLNER practices at 121 W MAIN ST, Port Washington, WI 53074.

Quick Facts

NPI
1801525795
Type
Individual
Enumerated
Jun 7, 2022
Last Updated
Jul 10, 2024

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