Provider Demographics
NPI:1366284010
Name:BUHR, BRIANNA ADELYN (LPC-IT)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ADELYN
Last Name:BUHR
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S BUTLER ST STE 106
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-5606
Mailing Address - Country:US
Mailing Address - Phone:715-350-8978
Mailing Address - Fax:
Practice Address - Street 1:133 S BUTLER ST STE 106
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-5606
Practice Address - Country:US
Practice Address - Phone:715-350-8978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7942-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional