Individual
KAREN A MINX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
3144 VANZILE ROAD, CRANDON, WI 54520-8149
(715) 478-5180
(715) 478-5904
Mailing address
3144 VANZILE ROAD, CRANDON, WI 54520-8149
(715) 478-5180
(715) 478-5904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16492
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18719-130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092088
—
WI
Enumeration date
12/04/2018
Last updated
06/11/2021
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