Individual
BRYANNA KIM ASHENBRENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
980 MARITIME DR STE 1, MANITOWOC, WI 54220-2962
(920) 905-1020
(920) 905-1020
Mailing address
980 MARITIME DR STE 1, MANITOWOC, WI 54220-2962
(920) 905-1020
(920) 905-1020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6280-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689056830
—
WI
Enumeration date
06/24/2015
Last updated
01/24/2017
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