Female

Brooke T. Kysely MS, LPC, NCC

Professional Counselor in Jefferson, WI(View on Map)

Full Name

Brooke T Kysely MS, LPC, NCC

NPI Number

1487247326

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/11/2021

Specialties

(Taxonomies)

Code

101YP2500X
101YM0800X

Primary Taxonomy

Yes
No

Licenses

State

Wisconsin
Wisconsin

License Number

8573-125
4834226

Contact
Information

Purpose

Mailing
Location

Address

1541 ANNEX RD
1541 ANNEX RD

City

Jefferson
Jefferson

State

WI
WI

Postal Code

53549-9803
53549-9803

Country

US
US

Telephone Number

(920) 318-2095
(206) 741-1349

Health Information Exchange

Endpoint Type

CONNECT
CONNECT

Endpoint

blee@jeffersoncountywi.gov
bkysely@jeffersoncountywi.gov

Endpoint Description

Work Email
Work Email

Use

Health Information Exchange (HIE)
Health Information Exchange (HIE)

Content Type

CSV

CSV

Affiliation

N
N

Endpoint Location

1541 Annex RdJefferson, WI535499803US
1541 Annex RdJefferson, WI535499803US

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

Data last updated by provider on 01/29/2023

Provider Address

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