Individual
MR. JOHN BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, SAC-IT
Contact information
Practice address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Mailing address
4650 W SPENCER ST, APPLETON, WI 54914-9106
(920) 903-1060
(920) 903-1060
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19327-130
WI
101YP2500X
Professional Counselor
Primary
10935-123
WI
Other
Enumeration date
06/14/2021
Last updated
02/03/2025
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