Pauline Carol Broge, LPC-IT
Pauline Carol Broge, LPC-IT is a Mental Health Counselor in Winter, Wisconsin. Qualified in 2021, 5 years ago. Practices with Sa Limberg Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 5
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
5168 N South Main StWinter, WI 54896-7736
Phone: (715) 661-4359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 5293-226 (WI) |
|---|
Record details
| NPI number | 1629710272 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC-IT |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2022 |
| Last updated in NPPES | April 12, 2022 |
| Certification date | April 12, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sa Limberg Inc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |