Individual
KIRSTEN LISA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-0510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0006368
CO
101YP2500X
Professional Counselor
Primary
5978-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
CO
05
—
101YP2500X
—
CO
05
—
101YP2500X
—
WI
01
—
2515000OOX
CRISIS INTERVENTION TAXONOMY
—
Enumeration date
09/14/2022
Last updated
12/29/2025
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