Individual
BRIANNA J KULIBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 PARK ST, WAUTOMA, WI 54982-9031
(920) 787-6550
(920) 787-0421
Mailing address
PO BOX 1230, WAUTOMA, WI 54982-1230
(920) 787-6550
(920) 787-0421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
4232-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004787
—
WI
Enumeration date
06/10/2009
Last updated
05/26/2017
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