Shannon Broeker, LPC
NPI #1386488955 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1386488955
- Entity Type
- Individual
- Name
- Shannon Broeker, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jun 19, 2024
- Last Updated
- Jan 13, 2026
Practice Location
- Address
- 1317 W GRAND AVE STE 6
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-2075
- Phone
- (262) 427-8905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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