Individual
KATHERINE BALTHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CRC
Contact information
Practice address
6580 MONONA DR # 1078, MONONA, WI 53716-4032
(608) 616-0271
Mailing address
6580 MONONA DR # 1078, MONONA, WI 53716-4032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5613-125
WI
Other
Enumeration date
06/23/2025
Last updated
06/28/2025
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