Individual
BRADEN LEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 PINE ST STE B, LITTLE CHUTE, WI 54140-1812
(920) 843-7030
Mailing address
528 PINE ST STE B, LITTLE CHUTE, WI 54140-1812
(920) 843-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8332-226
WI
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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