Individual
KRISTI ANNE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LCPC
Contact information
Practice address
980 MARITIME DR STE 6, MANITOWOC, WI 54220-2962
(920) 733-2065
Mailing address
1921 HIDDEN HOLLOW LN, MANITOWOC, WI 54220-7166
(630) 632-8344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5339-125
WI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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