Individual
JACQUELINE J BAURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
517 COURT ST RM 503, NEILLSVILLE, WI 54456-1976
(715) 937-6063
Mailing address
812 E 4TH ST, OWEN, WI 54460-9514
(715) 937-6063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5159-226
WI
101YP2500X
Professional Counselor
Primary
11214-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200049
—
WI
Enumeration date
04/28/2022
Last updated
08/01/2024
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