Individual
ANNA B ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
414 BROADWAY ST STE 101, BARABOO, WI 53913-2488
(608) 402-3126
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8288-125
WI
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8288-125
LPC
WI
Enumeration date
01/23/2019
Last updated
03/09/2023
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