Provider Demographics
NPI:1326606740
Name:COTTER, BRIANNA M (MS, LMFT-IT)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:M
Last Name:COTTER
Suffix:
Gender:F
Credentials:MS, LMFT-IT
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:M
Other - Last Name:HESSELBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:710 N WEBB AVE
Mailing Address - Street 2:
Mailing Address - City:REEDSBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53959-1149
Mailing Address - Country:US
Mailing Address - Phone:608-524-5151
Mailing Address - Fax:608-524-5353
Practice Address - Street 1:710 N WEBB AVE
Practice Address - Street 2:
Practice Address - City:REEDSBURG
Practice Address - State:WI
Practice Address - Zip Code:53959-1149
Practice Address - Country:US
Practice Address - Phone:608-524-5151
Practice Address - Fax:608-524-5353
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI694-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist