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NPI Code Detail

MEDICARE: BRIANNA HAASE

MEDICARE:   BRIANNA  HAASE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1205679099
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA HAASE
Provider Business Mailing Address
First Line : 32 S MAIN ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-3941
Country : US
Telephone Number : 608-554-3019
Fax Number :
Provider Business Practice Location Address
First Line : 32 S MAIN ST
Second Line :
City : JANESVILLE
State : WI
Zip : 53545-3941
Country : US
Telephone Number : 608-554-3019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2024
Last Update Date : 06/18/2024

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Directions to “ BRIANNA HAASE ” Practice Location

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