James Broecker PA

NPI #1619090669 in Hudson, Wisconsin

Provider Information

NPI Number
1619090669
Entity Type
Organization
Organization Name
James Broecker PA
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 6, 2007
Last Updated
Jan 10, 2011

Practice Location

Address
901 DOMINION DR
Address 2
HUDSON COUNSELING
City
Hudson
ZIP Code
54016-9326
Phone
(715) 531-6760

Authorized Official

Name
MR. JAMES HAROLD BROECKER, MS, LMFT
Title
LIC. MARRIAGE AND FAMILY THERAPIST
Phone
(651) 295-2409

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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