Individual
KRYSTI M DEINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
721 OXFORD AVE, EAU CLAIRE, WI 54703-5212
(715) 839-7602
Mailing address
721 OXFORD AVE, EAU CLAIRE, WI 54703-5212
(715) 839-7602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19181
WI
101YP2500X
Professional Counselor
Primary
7765
WI
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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