O'Brien, Elizabeth A

O'Brien, Elizabeth A is an individual health care provider with primary practice located at 120 S Barstow St , Eau Claire WI 54701-3642. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. O'Brien, Elizabeth A can be contacted via phone (715) 832-2221.

Contact Information

Primary practice address
120 S Barstow St Eau Claire WI 54701-3642
Phone: (715) 832-2221
Fax: (715) 838-8423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 478-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2662-123 Wisconsin

Profile Details

NPI number 1023180460
LBN Legal business name O'Brien, Elizabeth A
Credentials LCSW, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 24th, 2010 - about 14 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 1023180460 NPPES
Wisconsin MEDICAID 39224600

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