VANESSA MINOR MS LPC CSAC NPI 1578001129

NPI Information

NPI: 1578001129
Provider Name: VANESSA MINOR, MS, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
11801 W SILVER SPRING DR STE 102
MILWAUKEE, WI
ZIP 53225
Phone: (414) 367-9155
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Vanessa Minor, MS, LPC, CSAC is a professional counselor in Milwaukee, WI. Vanessa Minor, MS, LPC, CSAC NPI is 1578001129. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11801 W SILVER SPRING DR STE 102
MILWAUKEE, WI
ZIP 53225-092
Phone: (414) 367-9155
Fax: (414) 600-9080

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16042-132	WISCONSIN	No
2	101YP2500X	Counselor	Professional	6104	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1578001129	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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