Male or Other

Judson Chubbuck LPC

Professional Counselor in Brookfield, WI(View on Map)

Full Name

Judson Chubbuck LPC

NPI Number

1245393388

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/19/2006

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

3233125

Contact
Information

Purpose

Mailing
Location

Address

4928 W WISCONSIN AVE
16535 W BLUEMOUND RD

City

Milwaukee
Brookfield

State

WI
WI

Postal Code

53208-3052
53005-5936

Country

US
US

Telephone Number

(414) 774-1052
(262) 789-1191

Identifiers

Identifier

40963300

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/05/2009

Provider Address

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