Provider Demographics
NPI:1487105524
Name:ABERCROMBIE, ROBERT LEE JR (MS LPC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:LEE
Last Name:ABERCROMBIE
Suffix:JR
Gender:M
Credentials:MS LPC
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Mailing Address - Street 1:10850 W PARK PL STE 100
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-3636
Mailing Address - Country:US
Mailing Address - Phone:262-789-1191
Mailing Address - Fax:414-359-1021
Practice Address - Street 1:10850 W PARK PL STE 100
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-3636
Practice Address - Country:US
Practice Address - Phone:262-789-1191
Practice Address - Fax:414-359-1021
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI8160-125101YP2500X
MDLGP5363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health