Individual
KARISSE ALICIA CALLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
320 21ST ST N, MENOMONIE, WI 54751-2228
(715) 235-4537
(715) 235-4535
Mailing address
320 21ST ST N, MENOMONIE, WI 54751-2228
(715) 235-4537
(715) 235-4535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15765131
WI
101YM0800X
Mental Health Counselor
Primary
5125125
WI
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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