Individual
KRISTINA BOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
611 N LYNNDALE DR, APPLETON, WI 54914-3041
(920) 238-3030
Mailing address
611 N LYNNDALE DR, APPLETON, WI 54914-3041
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4696226
WI
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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