Individual
KATE BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR, LCPC
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
1325 W QUARTZ ST APT 204, BUTTE, MT 59701-8905
(608) 214-9392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7078-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346677432
—
WI
Enumeration date
10/03/2013
Last updated
10/18/2018
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