Individual
BRIAN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6755
Mailing address
11102 3RD ST N, LAKE ELMO, MN 55042-1503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15836-131
WI
101YP2500X
Professional Counselor
7592-125
WI
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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