Individual
KIRSTEN L TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 PETERSON AVE, EAU CLAIRE, WI 54703-9709
(715) 379-9408
Mailing address
1401 PETERSON AVE, EAU CLAIRE, WI 54703-9709
(715) 379-9408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3628125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41002800
—
WI
Enumeration date
04/28/2006
Last updated
04/27/2023
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