Individual
BRIANA JEAN HOBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
533 PEACE PIPE RD, LAC DU FLAMBEAU, WI 54538-9123
(715) 588-1511
(715) 588-3903
Mailing address
PO BOX 189, LAC DU FLAMBEAU, WI 54538-0189
(715) 588-1511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
130338-121
WI
1041C0700X
Clinical Social Worker
11558-123
WI
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104563808
—
WI
01
—
11558-123
STATE LICENSURE
WI
Enumeration date
05/16/2022
Last updated
01/31/2024
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