| Forward Path Mke | |
|
2054 S 96th St West Allis WI 53227-1425 | |
| (262) 450-5767 | |
| Not Available |
| Full Name | Forward Path Mke |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2054 S 96th St, West Allis, Wisconsin |
| Authorized Official Name and Position | Juan Corral (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2624505767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Path Mke 2054 S 96th St West Allis WI 53227-1425 Ph: (262) 450-5767 | Forward Path Mke 2054 S 96th St West Allis WI 53227-1425 Ph: (262) 450-5767 |
| NPI Number | 1407713563 |
|---|---|
| Provider Enumeration Date | 01/08/2026 |
| Last Update Date | 01/08/2026 |
| Certification Date | 01/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407713563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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