Individual
MR. BARRY D. ERATH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2639 NEW PINERY RD, SUITE 1, PORTAGE, WI 53901-1110
(608) 742-5020
(608) 742-3641
Mailing address
2535 LENNON ST, PORTAGE, WI 53901-1124
(608) 742-7263
(608) 742-3641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2594-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13874
DEAN INSURANCE
WI
05
—
39541100
—
WI
Enumeration date
06/16/2006
Last updated
07/08/2007
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