Individual
BROOKE HUCKABAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
405 E FOREST ST STE 108, OCONOMOWOC, WI 53066-3707
(920) 605-5775
Mailing address
405 E FOREST ST STE 108, OCONOMOWOC, WI 53066-3707
(815) 670-9319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10538-125
WI
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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