Individual
LYNNELLEN PROEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16135-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16794-130
WI
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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