Individual
KATIE A WERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
200 S HICKORY ST, MAUSTON, WI 53948-1320
(608) 847-2400
(608) 847-9599
Mailing address
200 S HICKORY ST, MAUSTON, WI 53948-1320
(608) 847-2400
(608) 847-9599
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18293-130
WI
101YM0800X
Mental Health Counselor
6625-125
WI
101YP2500X
Professional Counselor
Primary
6625-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538706833
—
WI
Enumeration date
12/05/2019
Last updated
11/29/2021
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