Individual
MR. BRANDON WAUPEKENAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
2789-226 LPC
Contact information
Practice address
N2150 KESAEHKAHTEK RD, GRESHAM, WI 54128-9602
(715) 799-3835
(715) 799-5056
Mailing address
500 1/2 N MAIN ST, SHAWANO, WI 54166-1945
(715) 304-6057
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2789226
WI
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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