Individual
MR. RICHARD T BARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-5488
Mailing address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-5488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10483-125
WI
101YP2500X
Professional Counselor
5133
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187670
—
WI
Enumeration date
11/29/2021
Last updated
06/21/2023
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