Acosta, Carolina

Acosta, Carolina is an individual health care provider with primary practice located at 9505 W Brown Deer Rd , Milwaukee WI 53224-2011. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Acosta, Carolina can be contacted via phone (262) 345-5561.

Contact Information

Primary practice address
9505 W Brown Deer Rd Milwaukee WI 53224-2011
Fax: (262) 345-5562
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 4123125 Wisconsin

Profile Details

NPI number 1043542509
LBN Legal business name Acosta, Carolina
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2010
Last updated Mar 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043542509 NPPES
Wisconsin MEDICAID 100008077

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