Individual
MS. JUDITH ANN KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
550 N DEWEY ST, EAU CLAIRE, WI 54703-3218
(715) 834-6681
(715) 834-9954
Mailing address
550 N DEWEY ST, EAU CLAIRE, WI 54703-3218
(715) 834-6681
(715) 834-9954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2078125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40945000
—
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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