Provider Demographics
NPI:1306085089
Name:YERGES, SENA C (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:SENA
Middle Name:C
Last Name:YERGES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 245039
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224
Mailing Address - Country:US
Mailing Address - Phone:414-368-6070
Mailing Address - Fax:414-368-6073
Practice Address - Street 1:757 SOUTH MAIN STREET
Practice Address - Street 2:SUITE 8
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935
Practice Address - Country:US
Practice Address - Phone:920-731-9798
Practice Address - Fax:920-731-0197
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI97-226101YP2500X
WI4336-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional