Organization
ARBOR MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA M. MAUK (CEO/OWNER)
(715) 575-1421
Entity
Organization
Contact information
Practice address
500 N 3RD ST STE 22O, WAUSAU, WI 54403-4885
(715) 204-4260
Mailing address
500 N 3RD ST STE 220, WAUSAU, WI 54403-4857
(715) 204-4260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720275530
—
WI
05
—
1780191973
—
WI
05
—
1902349509
—
WI
Enumeration date
05/25/2020
Last updated
01/10/2023
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