Individual
KATHERINE A DEBRUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(920) 364-0747
Mailing address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(920) 364-0747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17178-130
WI
101YP2500X
Professional Counselor
2294-226
WI
101YP2500X
Professional Counselor
Primary
6118
WI
101YP2500X
Professional Counselor
6118-125
WI
Other
Enumeration date
06/23/2015
Last updated
02/02/2026
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