Individual
KAREN D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC,CSAC
Contact information
Practice address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
(262) 999-8656
(262) 821-6180
Mailing address
741 N GRAND AVE STE 302, WAUKESHA, WI 53186-4841
(262) 999-8656
(262) 821-6180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16010-132
WI
101YP2500X
Professional Counselor
Primary
5034-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152851198
—
WI
Enumeration date
09/23/2012
Last updated
11/08/2023
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