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Individual
MRS. TANYA L BRICCO
Active
Individual
MRS. TANYA L BRICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CAPSW, SAC-IT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15830-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16547-130
WI
101YM0800X
Mental Health Counselor
128308-121
WI
106H00000X
Marriage & Family Therapist
Primary
8217-123
WI
Other
Enumeration date
04/25/2013
Last updated
02/26/2021
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