Organization
JAMES BROECKER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HAROLD BROECKER MS, LMFT (LIC. MARRIAGE AND FAMILY THERAPIST)
(651) 295-2409
Entity
Organization
Contact information
Practice address
901 DOMINION DR, HUDSON COUNSELING, HUDSON, WI 54016-9326
(715) 531-6760
(715) 531-6761
Mailing address
2806 ITASCA AVE S, LAKELAND, MN 55043-9741
(715) 531-6760
(715) 531-6761
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
01/10/2011
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