Brafford, Rita Jean

Brafford, Rita Jean is an individual health care provider with primary practice located at 888 Thackeray Trl 105, Oconomowoc WI 53066-4342. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brafford, Rita Jean can be contacted via phone (262) 542-3255.

Contact Information

Primary practice address
888 Thackeray Trl 105 Oconomowoc WI 53066-4342
Phone: (262) 542-3255
Fax: (262) 567-5451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6612-123 Wisconsin

Profile Details

NPI number 1700992708
LBN Legal business name Brafford, Rita Jean
Credentials LCSW, CADC-D
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jun 29th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700992708 NPPES
Wisconsin Other 13350 ALCOHOL & DRUG COUNSELOR
Wisconsin MEDICAID 39788800 ALCOHOL & DRUG COUNSELOR

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