Individual
KRISTA DEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 DAVIS ST, HAMMOND, WI 54015-9788
(612) 567-9881
(612) 520-5821
Mailing address
625 KLEIN DR, HAMMOND, WI 54015-9798
(612) 567-9881
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
6862-125
WI
101YP2500X
Professional Counselor
Primary
6862-125
WI
Other
Enumeration date
10/19/2015
Last updated
07/14/2025
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