Individual
MRS. KRISTI L LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3242-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43563100
—
WI
Enumeration date
02/12/2007
Last updated
07/08/2007
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