Individual
MRS. KALIE GEITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC-IT
Contact information
Practice address
505 BROADWAY ST # 480, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Mailing address
505 BROADWAY ST # 480, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
11646-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346807211
—
WI
Enumeration date
05/24/2019
Last updated
05/04/2026
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