Doctor Name: | BRIANNA J KULIBERT |
NPI Number: | 1396971842 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 230 Park St Wautoma, WI - 549829031 |
Business Phone Number: | 9207876550 |
Business Fax Number: | 9207870421 |
Mailing Address: | Po Box 1230, WAUTOMA |
State: | WI |
Postal Code: | 549821230 |
Phone Number: | 9207876550 |
Fax Number: | 9207870421 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |