Minor, Vanessa
Minor, Vanessa is an individual health care provider with primary practice located at 15400 W Capitol Dr Ste 105 , Brookfield WI 53005-2661. 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. Minor, Vanessa can be contacted via phone (414) 367-9155.Contact Information
Primary practice address
15400 W Capitol Dr Ste 105
Brookfield WI 53005-2661
Phone: (414) 367-9155
Fax: (414) 600-9080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 16042-132 | Wisconsin |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6104 | Wisconsin |
Profile Details
| NPI number | 1578001129 |
|---|---|
| LBN Legal business name | Minor, Vanessa |
| Credentials | MS, LPC, CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2017 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578001129 | NPPES |
| Wisconsin | MEDICAID | 1578001129 |
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