Individual
KRISTINA ANNE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2115 E CLAIREMONT AVE STE 2, EAU CLAIRE, WI 54701-4761
(763) 210-9966
(763) 210-6886
Mailing address
N10863 COUNTY ROAD G, NECEDAH, WI 54646-7959
(920) 728-3004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7353-226
WI
101YM0800X
Mental Health Counselor
11431-125
WI
101YP2500X
Professional Counselor
Primary
11431-125
WI
Other
Enumeration date
08/02/2023
Last updated
06/04/2025
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