Corona, Miriam E

Corona, Miriam E is an sole proprietor health care provider with primary practice located at 5910 39Th Ave , Kenosha WI 53144-2738. 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. Corona, Miriam E can be contacted via phone (262) 833-5999.

Contact Information

Primary practice address
5910 39Th Ave Kenosha WI 53144-2738
Phone: (262) 833-5999
Fax: (262) 357-8431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16627-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 8781-125 Wisconsin

Profile Details

NPI number 1649745340
LBN Legal business name Corona, Miriam E
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2018
Last updated Apr 3rd, 2025 - about last year

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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