Individual
KATHRYN MARIE STINGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, CRC
Contact information
Practice address
115 S FISCHER AVE, JEFFERSON, WI 53549-2123
(715) 437-0114
Mailing address
115 S FISCHER AVE, JEFFERSON, WI 53549-2123
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
.0014220
CO
101YP2500X
Professional Counselor
Primary
180.010840
IL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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