Individual
KATELIN DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
700 RAYOVAC DR., SUITE 103, MADISON, WI 53711
(414) 254-3128
Mailing address
2914 MELISSA CIR, FITCHBURG, WI 53711-6416
(414) 254-3128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5900-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497185920
—
WI
Enumeration date
11/19/2013
Last updated
12/31/2015
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