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NPI Code Detail

MEDICARE: MR. ROBERT LEE ABERCROMBIE JR. MS. LPC

MEDICARE: MR. ROBERT LEE ABERCROMBIE JR. MS. LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor8160-125WI
2101YM0800XMental Health CounselorLGP5363MD

General Provider Information

NPI Number : 1487105524
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT LEE ABERCROMBIE JR. MS. LPC
Provider Business Mailing Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Provider Business Practice Location Address
First Line : 10850 W PARK PL STE 100
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-3636
Country : US
Telephone Number : 262-789-1191
Fax Number : 414-359-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 03/08/2022

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