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Ian Roudebush
Professional Counselor in Brown Deer, Wisconsin
NPI 1710606520

Ian Roudebush is a Professional Counselor based in Brown Deer, WI and is specialized in Professional. Ian Roudebush practices in Brown Deer, WI. The NPI Number for Ian Roudebush is 1710606520 and holds a License No. (Wisconsin).

The current practice location address for Ian Roudebush is 3900 W Brown Deer Rd Ste 200, Brown Deer, WI and can be reached out via phone at 414-540-2170.

Location: 3900 W Brown Deer Rd Ste 200, Brown Deer, WI, 53209-1220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710606520
Provider Name
Ian Roudebush
Credential
Provider Entity Type
Individual
Gender
Male
Address
3900 W Brown Deer Rd Ste 200, Brown Deer, WI, 53209-1220
Phone Number
414-540-2170
Fax Number
Provider Enumeration Date
08/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3900 W Brown Deer Rd Ste 200
City
Brown Deer
State
Wisconsin
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
person
Provider Business Mailing Address Details
Address
3900 W Brown Deer Rd Ste 200
City
Brown Deer
State
Wisconsin
Zip
53209-1220
Phone Number
414-540-2170
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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