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Individual

MS. KRISTINE KAY SACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
926 WILLARD DRIVE, STE 136, GREEN BAY, WI 54304-5071
(920) 461-5820
(888) 449-6342
Mailing address
926 WILLARD DRIVE, STE 136, GREEN BAY, WI 54304-5071
(920) 461-5820
(888) 449-6342

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5307-125
WI

Other

Enumeration date
06/27/2012
Last updated
09/23/2024
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