Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 5010-125 | WI |
N | 103TC1900X | Counseling Psychologist | 6301014744 | MI |
NPI | 1013214824 |
---|---|
Provider Name | Cheryl A Werner |
First Address | Brown Deer, WI 53209-1220 |
Second Address | Brown Deer, WI 53209-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2011 |
Last Update Date | 26/03/2013 |