Individual
CHRISTINE M ECKBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 DEWEY AVE, MILWAUKEE, WI 53213-2504
(414) 454-6777
Mailing address
1220 DEWEY AVE, MILWAUKEE, WI 53213-2504
(414) 454-6777
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5580
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045958
—
WI
Enumeration date
05/15/2012
Last updated
12/28/2021
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