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Robert Bannasch
Mental Health Counselor in Brookfield, Wisconsin
NPI 1457964330

Robert Bannasch is a Mental Health Counselor based in Brookfield, WI and is specialized in Mental Health. Robert Bannasch practices in Brookfield, WI. The NPI Number for Robert Bannasch is 1457964330 and holds a License No. (Wisconsin).

The current practice location address for Robert Bannasch is 13035 W Bluemound Rd Ste 100, Brookfield, WI and can be reached out via phone at 262-784-1121.

Location: 13035 W Bluemound Rd Ste 100, Brookfield, WI, 53005-8001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457964330
Provider Name
Robert Bannasch
Credential
Provider Entity Type
Individual
Gender
Male
Address
13035 W Bluemound Rd Ste 100, Brookfield, WI, 53005-8001
Phone Number
262-784-1121
Fax Number
Provider Enumeration Date
08/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13035 W Bluemound Rd Ste 100
City
Brookfield
State
Wisconsin
Zip
53005-8001
Phone Number
262-784-1121
Fax Number
person
Provider Business Mailing Address Details
Address
13035 W Bluemound Rd Ste 100
City
Brookfield
State
Wisconsin
Zip
53005-8001
Phone Number
262-784-1121
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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