Individual provider · Type 1 NPI
Bonneka Tiffany Seals, MS, NCC, LPC, CSAC
Mental Health Counselor · Brookfield, WI
NPI number
1093163065
Active
Practice location
3235 N 124th St
Brookfield, WI 53005
Mailing address
804 Minaka Dr
Waukesha, WI 53188-5604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 6744-125 (WI) |
| Mental Health Counselor Primary | 101YM0800X | 6744-125 (WI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16190-132 (WI) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1093163065
Bonneka Tiffany Seals, MS, NCC, LPC, CSAC's National Provider Identifier is 1093163065, issued on May 31, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookfield, WI. The record was last updated on Jun 2, 2022.