Individual provider · Type 1 NPI

Shannon Broeker, LPC

Professional Counselor · Port Washington, WI

NPI number 1386488955 Active

Practice location

1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075

Call (262) 427-8905 Map

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X11969-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1386488955

Shannon Broeker, LPC's National Provider Identifier is 1386488955, issued on Jun 19, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Washington, WI. The record was last updated on Jan 13, 2026.