Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
JACQUELINE J BAURES
Active
Individual
JACQUELINE J BAURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5159-226
WI
101YP2500X
Professional Counselor
Primary
11214-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200049
—
WI
Enumeration date
04/28/2022
Last updated
08/01/2024
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