Individual
KRISTINA M. MAUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
500 N 3RD ST STE 220, WAUSAU, WI 54403-4857
(715) 575-1421
(844) 927-0227
Mailing address
910 CHARLES ST, EDGAR, WI 54426-9266
(715) 297-3827
(844) 927-0227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18261
WI
101YP2500X
Professional Counselor
Primary
7566
WI
Other
Enumeration date
01/09/2018
Last updated
06/25/2020
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