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Individual

BRIAN WEXLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LPC, CADC-D

Contact information

Practice address
797 E GENEVA ST, ELKHORN, WI 53121-2303
(262) 723-1455
(262) 723-1556
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13626
WI
101YP2500X
Professional Counselor
Primary
3352-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43570600
WI
Enumeration date
08/31/2006
Last updated
01/04/2008
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