Provider Demographics
NPI:1598993727
Name:SOSA, VERONICA (MS LPC)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:SOSA
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W288S290 ELMHURST DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-9221
Mailing Address - Country:US
Mailing Address - Phone:262-309-9297
Mailing Address - Fax:
Practice Address - Street 1:W288S290 ELMHURST DR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-9221
Practice Address - Country:US
Practice Address - Phone:262-309-9297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4420-125101YP2500X
WI356226101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor