Brenda L Baribeau, LPC
Counselor, Professional in Turtle Lake, WI. Individual provider (NPI-1).
NPI number1982165320
StatusActive
Last updated in NPPESOct 29, 2024
Details
- NPI
- 1982165320
- Entity type
- Individual (NPI-1)
- Name
- Brenda L Baribeau
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2019
- Certification date
- Oct 29, 2024
- Last updated
- Oct 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4772 | WI | Yes |
| 101YM0800X | Counselor, Mental Health | 4772 | WI | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
730 Swede AvenueTurtle Lake, WI 54889
Phone 715-986-2640 · Fax 715-986-2521
Mailing address
15735 W Us Highway 63Hayward, WI 54843-6475
Phone 888-834-4551 · Fax 715-598-4881
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