Individual
LYNN D LUEBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC CSAC
Contact information
Practice address
10850 W PARK PL, SUITE 100, MILWAUKEE, WI 53224-3606
(262) 542-3255
(414) 359-1021
Mailing address
723 JUNIPER CT, WEST BEND, WI 53095-4219
(262) 334-5424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
042352
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
2247
WI
101YM0800X
Mental Health Counselor
Primary
1611125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40966800
—
WI
Enumeration date
10/20/2006
Last updated
07/01/2009
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