Individual
JUDSON CHUBBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 789-1191
(262) 821-6180
Mailing address
4928 W WISCONSIN AVE, MILWAUKEE, WI 53208-3052
(414) 774-1052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3233125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40963300
—
WI
Enumeration date
12/19/2006
Last updated
02/05/2009
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