Provider Demographics
NPI:1023102563
Name:TRIMBLE, BETTE M (MS, LCPC, LPC)
Entity type:Individual
Prefix:
First Name:BETTE
Middle Name:M
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:MS, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 AMERICAN PKWY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53718-8333
Mailing Address - Country:US
Mailing Address - Phone:608-217-8705
Mailing Address - Fax:888-643-9220
Practice Address - Street 1:4600 AMERICAN PKWY
Practice Address - Street 2:SUITE 206
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53718-8333
Practice Address - Country:US
Practice Address - Phone:608-217-8705
Practice Address - Fax:888-643-9220
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005337101YP2500X
WI5291-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional