Individual
ALLYSEN BARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3475 OMRO RD STE 400, OSHKOSH, WI 54904-7126
(920) 267-3470
(920) 267-3480
Mailing address
303 WATSON ST STE D, RIPON, WI 54971-1516
(929) 896-0189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8578-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160777
—
WI
Enumeration date
06/03/2020
Last updated
11/10/2022
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