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Individual
BRIAN BARTLETT
Active
Individual
BRIAN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15836-131
WI
101YP2500X
Professional Counselor
7592-125
WI
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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