Individual provider · Type 1 NPI

Ian Roudebush

Professional Counselor · Brown Deer, WI

NPI number 1710606520 Active

Practice location

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1710606520

Ian Roudebush's National Provider Identifier is 1710606520, issued on Aug 24, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brown Deer, WI. The record was last updated on Aug 24, 2022.