Provider Demographics
NPI:1063720332
Name:AESCHLIMAN, SHELLEY J (LPC)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:J
Last Name:AESCHLIMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:J
Other - Last Name:BROOKENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9659 MISSISSIPPI LN
Mailing Address - Street 2:
Mailing Address - City:BAGLEY
Mailing Address - State:WI
Mailing Address - Zip Code:53801-9755
Mailing Address - Country:US
Mailing Address - Phone:608-333-3158
Mailing Address - Fax:
Practice Address - Street 1:9659 MISSISSIPPI LN
Practice Address - Street 2:
Practice Address - City:BAGLEY
Practice Address - State:WI
Practice Address - Zip Code:53801-9755
Practice Address - Country:US
Practice Address - Phone:608-333-3158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15991-130101YA0400X
WI4841-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)