Individual
KAYLA JO KACZOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
(608) 654-5120
Mailing address
9532 E 16 FRONTAGE RD, ONALASKA, WI 54650-6739
(608) 783-0506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19588130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003150004
—
WI
Enumeration date
02/11/2022
Last updated
11/06/2024
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