Individual
MRS. KATIE JANE BARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, SACIT
Contact information
Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16798-130
WI
101YM0800X
Mental Health Counselor
1767-226
WI
101YP2500X
Professional Counselor
Primary
5684-125
WI
Other
Enumeration date
11/07/2013
Last updated
10/12/2015
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