Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA DEWALT
Active Sole ProprietorTHERESA DEWALT is a Professional Counselor healthcare provider located in RACINE, Wisconsin. NPI 1699933036 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · RACINE, WI
Registration Details
- NPI Number
- 1699933036
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2008 (18.174546074743 yrs)
- Last Updated
- May 31, 2008
- License
-
3369-125 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1220 MOUND AVE STE 304RACINE, WI, 534043350Browse WI providers · Browse ZIP 53404
- Phone
- 2624880011
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| AMY SPRAGUE CHAMPEAU | MS, LMFT | 1447204953 |
| DR. MICHAEL ALLEN BOTICKI | PH.D. | 1255340642 |
| KATHLEEN RASMUSSEN | LPC | 1013079235 |
| MRS. MONICA CECILIA MASON | MS LPC | 1114063823 |
| JAN GAINER | — | 1598880163 |
| HILARY HOUTSINGER | — | 1083732507 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.