Provider Demographics
NPI:1487351045
Name:CATER, BRIANNA ROSE (LPC-IT)
Entity type:Individual
Prefix:MS
First Name:BRIANNA
Middle Name:ROSE
Last Name:CATER
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:ROSE
Other - Last Name:STANBROUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5302 ODANA RD UNIT 110
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1072
Mailing Address - Country:US
Mailing Address - Phone:402-590-6214
Mailing Address - Fax:
Practice Address - Street 1:2000 E RACINE ST STE 100
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-4300
Practice Address - Country:US
Practice Address - Phone:815-601-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7255226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional