Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Dewalt

Individual provider Professional Counselor · NPI 1699933036

Theresa Dewalt is a Professional Counselor in Racine, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2008

Practice location Address checks out

1220 Mound Ave Ste 304
Racine, WI 53404-3350
Phone: (262) 488-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3369-125 (WI)

Record details

NPI number1699933036
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2008
Last updated in NPPESMay 31, 2008

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