person
Heather Marie Bruckschen, LPC-IT,SAC-IT
Professional Counselor in Manitowoc, Wisconsin
NPI 1831609098

Heather Marie Bruckschen is a Professional Counselor based in Manitowoc, WI and is specialized in Professional. Heather Marie Bruckschen practices in Manitowoc, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Heather Marie Bruckschen is 1831609098 and holds a License No. 3712-226 (Wisconsin).

The current practice location address for Heather Marie Bruckschen is 3733 Dewey St, Manitowoc, WI and can be reached out via phone at 920-663-1035 and via fax at 920-215-4918. You can also correspond with Heather Marie Bruckschen through the mailing address at PO BOX 1823, MANITOWOC, WI - 54221-1823 (mailing address contact number: 920-663-1035).

Location: 3733 Dewey St, Manitowoc, WI, 54221-1823
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Provider Profile Details
NPI Number
1831609098
Provider Name
Heather Marie Bruckschen
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
3733 Dewey St, Manitowoc, WI, 54221-1823
Phone Number
920-663-1035
Fax Number
920-215-4918
Provider Enumeration Date
10/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100074973 05 WI
institution
Provider Business Practice Location Address Details
Address
3733 Dewey St
City
State
Zip
54220-5844
Phone Number
920-663-1035
Fax Number
920-215-4918
person
Provider Business Mailing Address Details
Address
Po Box 1823
City
State
Zip
54221-1823
Phone Number
920-663-1035
Fax Number
920-215-4918
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
17957-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3712-226 (Wisconsin)
Definition
Definition to come...
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