Individual
MR. JULANI K BAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, SAC, CCDVC
Contact information
Practice address
201 N. PINE STREET, BURLINGTON, WI 53105-1935
(262) 767-0441
(262) 767-9072
Mailing address
201 N. PINE STREET, BURLINGTON, WI 53105-1935
(262) 767-0441
(262) 767-9072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15556-131
WI
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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