Provider Demographics
NPI:1710548185
Name:RISCHE, MEGAN (LPC)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:RISCHE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MCHENRY ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-1825
Mailing Address - Country:US
Mailing Address - Phone:608-695-4395
Mailing Address - Fax:
Practice Address - Street 1:240 N MILWAUKEE ST # 202
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5830
Practice Address - Country:US
Practice Address - Phone:262-646-8288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8255-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional