Individual
BRET STALCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, MS
Contact information
Practice address
2960 TRIVERTON PIKE DR, FITCHBURG, WI 53711-5896
(608) 400-3818
Mailing address
2960 TRIVERTON PIKE DR, FITCHBURG, WI 53711-5896
(608) 400-3818
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
756-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100170870
—
WI
Enumeration date
05/28/2021
Last updated
09/26/2024
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