Individual
KRISTINA L SEGLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-II, CSAC, CSI-T
Contact information
Practice address
412 S ANDREWS ST, 1/2, SHAWANO, WI 54166-2902
(971) 770-2728
Mailing address
412 S. ANDREWS ST., 1/2, SHAWANO, WI 54166
(971) 400-8150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17191-133
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17255-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-08-20313
OR
101YM0800X
Mental Health Counselor
22-QMHA-I-003390
OR
Other
Enumeration date
03/05/2021
Last updated
11/20/2025
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