Healthcare Provider Details

I. General information

NPI: 1770403669
Provider Name (Legal Business Name): KAMARIE SEEBECKER LPC-IT, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16655 W BLUEMOUND RD STE 240
BROOKFIELD WI
53005-5923
US

IV. Provider business mailing address

16655 W BLUEMOUND RD STE 240
BROOKFIELD WI
53005-5923
US

V. Phone/Fax

Practice location:
  • Phone: 262-737-5303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9169-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: