person
Sally Bardin, LPC
Professional Counselor in Lake Geneva, Wisconsin
NPI 1679606529

Sally Bardin is a Professional Counselor based in Lake Geneva, WI and is specialized in Professional. Sally Bardin practices in Lake Geneva, WI and has the professional credentials of LPC. The NPI Number for Sally Bardin is 1679606529 and holds a License No. 3762-125 (Wisconsin).

The current practice location address for Sally Bardin is 101 Broad St Ste 201, Lake Geneva, WI and can be reached out via phone at 262-248-7942 and via fax at 262-248-1202.

Location: 101 Broad St Ste 201, Lake Geneva, WI, 53147-5013
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Provider Profile Details
NPI Number
1679606529
Provider Name
Sally Bardin
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
101 Broad St Ste 201, Lake Geneva, WI, 53147-5013
Phone Number
262-248-7942
Fax Number
262-248-1202
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43715500 05 WI
institution
Provider Business Practice Location Address Details
Address
101 Broad St Ste 201
City
State
Zip
53147-2061
Phone Number
262-248-7942
Fax Number
262-248-1202
person
Provider Business Mailing Address Details
Address
101 Broad St Ste 201
City
State
Zip
53147-2061
Phone Number
262-248-7942
Fax Number
262-248-1202
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3762-125 (Wisconsin)
Definition
Definition to come...
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