Individual
KRISTIN JOY EITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 JACK BREAULT DR, HUDSON, WI 54016-4547
(715) 629-8300
Mailing address
646 COUNTY ROAD NN, WILSON, WI 54027-3810
(817) 504-3812
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3904-226
WI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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