MEDICARE: BRITTANY HABLEWITZ MS

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
1	101YP2500X	Professional Counselor	3499-225	WI

General Provider Information

NPI Number	:	1659857381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HABLEWITZ MS

Provider Business Mailing Address
First Line	:	353 FOREST GROVE DR STE 100
Second Line	:
City	:	PEWAUKEE
State	:	WI
Zip	:	53072-3765
Country	:	US
Telephone Number	:	414-807-4723
Fax Number	:

Provider Business Practice Location Address
First Line	:	353 FOREST GROVE DR STE 100
Second Line	:
City	:	PEWAUKEE
State	:	WI
Zip	:	53072-3765
Country	:	US
Telephone Number	:	414-807-4723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	09/16/2024

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