Individual
MRS. TERESA M KUCZMARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
(888) 778-6750
Mailing address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
(888) 778-6750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1369-226
WI
101YM0800X
Mental Health Counselor
Primary
5972-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033670
—
WI
Enumeration date
04/11/2013
Last updated
11/16/2016
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