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Individual
BRIAN KEITH LEBARON
Active
Individual
BRIAN KEITH LEBARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.006898
IL
101YP2500X
Professional Counselor
178004166
IL
101YP2500X
Professional Counselor
3767-125
WI
Other
Enumeration date
03/28/2007
Last updated
05/12/2008
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