Individual
MRS. KRISTI ANN BALGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 1/2 W GENEVA ST, ELKHORN, WI 53121-1722
(262) 723-3424
(262) 723-8308
Mailing address
2048 LILLY ST, EAST TROY, WI 53120-1191
(262) 642-3852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3205125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13697
DEAN CARE
WI
01
—
2147306
CIGNA
—
01
—
282103
HEALTH MANG CNTR
WI
01
—
40970000
CENPATICO
WI
Enumeration date
09/12/2005
Last updated
07/08/2007
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