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Individual

MS. DEBRA J RAECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC, SAC-IT

Contact information

Practice address
6040 W. LISBON AVE., SUITE 200, MILWAUKEE, WI 53210
(414) 447-9890
(474) 447-9891
Mailing address
W209 N13497 ROBINHOOD DR., RICHFIELD, WI 53076
(262) 628-0428
(262) 628-0428

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13486-130
WI
101YP2500X
Professional Counselor
Primary
3903-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43719800
WI
Enumeration date
04/10/2007
Last updated
09/11/2025
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