Provider Demographics
NPI:1477898054
Name:BUNKELMAN, ALLISON L (LPC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:L
Last Name:BUNKELMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:EGGENER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4330 GOLF TER STE 205A
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-4688
Mailing Address - Country:US
Mailing Address - Phone:715-514-2676
Mailing Address - Fax:
Practice Address - Street 1:4330 GOLF TER STE 205A
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4688
Practice Address - Country:US
Practice Address - Phone:715-514-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1587-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional