Most Relevant Information
Provider Data
| NPI Number: | 1003500364 |
| Provider Name: | ALYSSA NICOLE ECKMAN MS, LPC-IT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 7392-226 |
Most Important Dates
| Enumeration Date: | 06/07/2023 |
| Last Updated: | 06/07/2023 |
Provider Practice Location
1655 W MEQUON RD
MEQUON
WI
530923254
Practice Location Phone/Fax
| Phone: | 4142924242 |
| Fax: | 2622409745 |
Provider Mailing Location
2373 N 61ST ST
WAUWATOSA
WI
532131503
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |