Individual provider · Type 1 NPI
Lara R. Bristol
Counselor · Waukesha, WI
NPI number
1336908797
Active
Practice location
412 E North St Ste A
Waukesha, WI 53188-3720
Mailing address
6085 S Pennycress Ct
New Berlin, WI 53151-5509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1336908797
Lara R. Bristol's National Provider Identifier is 1336908797, issued on Mar 18, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waukesha, WI. The record was last updated on Mar 18, 2024.