Provider Demographics
NPI:1558641555
Name:SEGER, BARBARA (BREE) JOHNSON (LMFT)
Entity Type:Individual
Prefix:
First Name:BARBARA (BREE)
Middle Name:JOHNSON
Last Name:SEGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BREE
Other - Middle Name:JOHNSON
Other - Last Name:SEGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:66806 146TH AVE
Mailing Address - Street 2:
Mailing Address - City:WABASHA
Mailing Address - State:MN
Mailing Address - Zip Code:55981-6012
Mailing Address - Country:US
Mailing Address - Phone:707-494-1316
Mailing Address - Fax:
Practice Address - Street 1:3265 19TH ST NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-6786
Practice Address - Country:US
Practice Address - Phone:707-494-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2360106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist