Sepulveda, Victoria Irene Miller
Sepulveda, Victoria Irene Miller is an sole proprietor health care provider with primary practice located at 116 W Grand Ave Ste 104 , Port Washington WI 53074-2242. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Sepulveda, Victoria Irene Miller can be contacted via phone (262) 394-1829.Contact Information
Primary practice address
116 W Grand Ave Ste 104
Port Washington WI 53074-2242
Phone: (262) 394-1829
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15861-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 5482-125 | Wisconsin |
Profile Details
| NPI number | 1417363292 |
|---|---|
| LBN Legal business name | Sepulveda, Victoria Irene Miller |
| Credentials | PH.D., LPC, CSAC, NC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Apr 13th, 2022 - about 2 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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