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Contact Information

BONNEKA T SEALS, MS, NCC,LPC,CSAC
3235 N 124TH ST
BROOKFIELD, WI53005
 Phone: 262-290-3315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BONNEKA T SEALS · (Female)

NPI Number 1093163065
Status Active
Credentials MS, NCC,LPC,CSAC
Entity Individual
Enumeration date 05/31/2016
Last updated 06/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 16190-132
  • WI License # 6744-125
  • WI Medicaid 100057092
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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