Individual
KRISTINE MARIE AMDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(855) 443-1595
Mailing address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(855) 443-1595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11493-125
WI
Other
Enumeration date
08/25/2020
Last updated
01/24/2025
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