MEDICARE: JOHENY R PABON MS-LPC-IT

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	101Y00000X	Counselor	9073-226	WI

General Provider Information

NPI Number	:	1710812268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHENY R PABON MS-LPC-IT

Provider Business Mailing Address
First Line	:	3505 N 124TH ST
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-2489
Country	:	US
Telephone Number	:	414-431-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 N 124TH ST
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-2489
Country	:	US
Telephone Number	:	414-431-4444
Fax Number	:

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

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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