Individual provider · Type 1 NPI
Sally Bardin, LPC
Professional Counselor · Lake Geneva, WI
NPI number
1679606529
Active
Practice location
101 Broad St Ste 201
Lake Geneva, WI 53147-2061
Fax (262) 248-1202
Mailing address
1116 Royal Birkdale Ct
Lake Geneva, WI 53147-5013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3762-125 (WI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1679606529
Sally Bardin, LPC's National Provider Identifier is 1679606529, issued on Mar 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake Geneva, WI. The record was last updated on Jul 8, 2007.