person
Mr. Barry D. Erath, LCSW
Mental Health Counselor in Portage, Wisconsin
NPI 1861436065

Barry D. Erath is a Mental Health Counselor based in Portage, WI and is specialized in Mental Health. Barry D. Erath practices in Portage, WI and has the professional credentials of LCSW. The NPI Number for Barry D. Erath is 1861436065 and holds a License No. 2594-123 (Wisconsin).

The current practice location address for Barry D. Erath is 2639 New Pinery Rd, Portage, WI and can be reached out via phone at 608-742-5020 and via fax at 608-742-3641.

Location: 2639 New Pinery Rd, Portage, WI, 53901-1124
person
Provider Profile Details
NPI Number
1861436065
Provider Name
Barry D. Erath
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
2639 New Pinery Rd, Portage, WI, 53901-1124
Phone Number
608-742-5020
Fax Number
608-742-3641
Provider Enumeration Date
06/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39541100 05 WI
13874 01 WI DEAN INSURANCE
institution
Provider Business Practice Location Address Details
Address
2639 New Pinery Rd
City
State
Zip
53901-1110
Phone Number
608-742-5020
Fax Number
608-742-3641
person
Provider Business Mailing Address Details
Address
2639 New Pinery Rd
City
State
Zip
53901-1110
Phone Number
608-742-5020
Fax Number
608-742-3641
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2594-123 (Wisconsin)
Definition
Definition to come...
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