Individual
EUGENE F BRAAKSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 671-6606
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 671-6606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1236-057
WI
103TC0700X
Clinical Psychologist
Primary
1236
WI
Other
Enumeration date
12/19/2007
Last updated
03/09/2020
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