Individual
MS. KRISTA DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
1383-26
Contact information
Practice address
1220 W VLIET ST, SUITE 304, MILWAUKEE, WI 53205-2117
(414) 289-6090
(414) 226-4184
Mailing address
1220 W VLIET ST, SUITE 304, MILWAUKEE, WI 53205-2117
(414) 289-6090
(414) 226-4184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1383-26
WI
Other
Enumeration date
04/11/2014
Last updated
04/11/2014
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