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NPI Code Detail

MEDICARE: AUBRIANNE JUDE

MEDICARE:   AUBRIANNE  JUDE
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
1101YM0800XMental Health Counselor10197-125WI

General Provider Information

NPI Number : 1902392400
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBRIANNE JUDE
Provider Business Mailing Address
First Line : 2500 S HOWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-1605
Country : US
Telephone Number : 414-373-1019
Fax Number :
Provider Business Practice Location Address
First Line : 2500 S HOWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53207-1605
Country : US
Telephone Number : 414-373-1019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2018
Last Update Date : 12/15/2025

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Directions to “ AUBRIANNE JUDE ” Practice Location

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