Search › Wisconsin › 101YP2500X
Victoria Sepulveda, PH.D., LPC, CSAC, NC
NPI 1417363292 · on the registry since 2014 · sole proprietor
Practice
- Address
- 116 W Grand Ave Ste 104
Port Washington, WI 53074 - Phone
- (262) 394-1829
- Organisation at this address
- Simplistic Nutrition Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin