Individual
KATRINA ELIZABETH GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
4131 W LOOMIS RD STE 120, GREENFIELD, WI 53221-2057
(414) 424-2445
(414) 424-2446
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5268-226
WI
Other
Enumeration date
05/08/2023
Last updated
06/22/2023
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