Individual
KRISTEN KATHRYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2620 STEWART AVE STE 310, WAUSAU, WI 54401-4162
(715) 848-0525
(715) 848-8665
Mailing address
2620 STEWART AVE STE 310, WAUSAU, WI 54401-4162
(715) 848-0525
(715) 848-8665
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12152-125
WI
101YP2500X
Professional Counselor
7667-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12152-125
STATELICENSE
WI
01
—
7667-226
LICENSE
WI
Enumeration date
10/20/2023
Last updated
11/17/2025
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