Individual
MARY KAY HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
2920 EAST AVE S, LA CROSSE, WI 54601-8231
(608) 790-9481
Mailing address
W6171 VALLEY PL, HOLMEN, WI 54636-9481
(608) 386-2981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16174-131
WI
101YP2500X
Professional Counselor
Primary
6553-125
WI
Other
Enumeration date
03/06/2022
Last updated
03/06/2022
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