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Individual
BRENDA L BARIBEAU
Active
Individual
BRENDA L BARIBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
4772
WI
101YP2500X
Professional Counselor
Primary
4772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11345
STATE LICENSE - LPC
WI
01
—
18832-130
SAC-IT
WI
01
—
4772-226
LPC-IT
WI
Enumeration date
03/28/2019
Last updated
10/29/2024
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