Individual
CAROLYN HASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16535 W BLUEMOUND RD STE 200, BROOKFIELD, WI 53005-5906
(262) 999-3495
Mailing address
15935 LUELLA DR, BROOKFIELD, WI 53005-3504
(414) 217-0952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6983-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700176815
—
WI
Enumeration date
04/10/2011
Last updated
01/02/2025
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