Individual
COLLEEN S JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC, SAC
Contact information
Practice address
840 STATE ROAD 136 STE 1, BARABOO, WI 53913-9252
(608) 477-9858
(877) 560-0578
Mailing address
840 STATE ROAD 136 STE 1, BARABOO, WI 53913-9252
(608) 477-9858
(877) 560-0578
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12133
WI
101YP2500X
Professional Counselor
2
WI
1041C0700X
Clinical Social Worker
Primary
3613
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39602100
—
WI
Enumeration date
12/20/2006
Last updated
06/01/2021
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