Ian Roudebush
Ian Roudebush is a Mental Health Counselor in Brown Deer, Wisconsin. Qualified in 2022, 4 years ago. Registered with an NPI since 2022.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
3900 W Brown Deer Rd Ste 200Brown Deer, WI 53209-1220
Phone: (414) 540-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1710606520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 24, 2022 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 24, 2022 |
| Mailing address | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Brown Deer
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Sara Rahn
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Matthew Redmond
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Anthony Roach, PC-IT, SW
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Markena Robinson
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Amanda Sengdara
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Callen Shaw
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Morgan Smith
3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 · (414) 540-2170
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Tracie Jennifer Stewart, MS, LPC
3900 W Brown Deer Rd Ste A Pmb 117, Brown Deer, WI 53209 · (414) 465-8101