Individual
KATRINA KIEFER MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8800 WASHINGTON AVE STE 300, MT PLEASANT, WI 53406-3705
(262) 633-3591
Mailing address
8800 WASHINGTON AVE STE 300, MT PLEASANT, WI 53406-3705
(262) 663-3591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7887-125
WI
101YP2500X
Professional Counselor
Primary
7887
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124621222
—
WI
Enumeration date
11/19/2020
Last updated
10/17/2022
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