| Shannon Broeker, LPC | |
|
1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 | |
| (262) 427-8905 | |
| Not Available |
| Full Name | Shannon Broeker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1317 W Grand Ave Ste 6, Port Washington, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386488955 | NPI | - | NPPES |
| 11969 | Other | WI | COUNSELOR |
| 7529 | Other | WI | STATE OF WISONSIN |
| 11969 | Other | WI | STATEOFWISCONSIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 11969-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Broeker, LPC 1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 Ph: () - | Shannon Broeker, LPC 1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 Ph: (262) 427-8905 |
Mrs. Ashley Ann Schmitz, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074 Phone: 262-235-4385 Fax: 414-310-0377 | |
Jessica Ollman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8148 Fax: 262-284-8209 | |
Mrs. Heather Lynn Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8229 Fax: 262-284-8104 | |
Marcy Drummy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Bonnie Halper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907 | |
Christina M Johnson, CAPSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8200 Fax: 262-284-8103 | |
Mrs. Carol L Ramos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-999-3495 Fax: 262-821-6180 |