Individual
KARA C FRIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Contact information
Practice address
1717 CENTER AVE, JANESVILLE, WI 53546-2800
(608) 757-5440
Mailing address
1717 CENTER AVE, JANESVILLE, WI 53546-2800
(608) 757-5440
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16940-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16042-131
WI
104100000X
Social Worker
129056-121
WI
1041C0700X
Clinical Social Worker
Primary
8475-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598156747
—
WI
Enumeration date
02/10/2015
Last updated
09/08/2021
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