Provider Demographics
NPI:1235779117
Name:FRANCE, BRIANNE (LCPC)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:FRANCE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 42
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:IL
Mailing Address - Zip Code:61088-0042
Mailing Address - Country:US
Mailing Address - Phone:847-802-8352
Mailing Address - Fax:
Practice Address - Street 1:8027 BARCLAY RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61102-1094
Practice Address - Country:US
Practice Address - Phone:847-802-8352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-08
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health