Individual
KRISTA LAUREN OELHAFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11518 N PORT WASHINGTON RD STE 202, MEQUON, WI 53092-3443
(262) 244-6178
Mailing address
1230 CORPORATE CENTER DR STE 100, OCONOMOWOC, WI 53066-4883
(262) 789-1191
(262) 821-6180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
9795-123
WI
1041C0700X
Clinical Social Worker
Primary
9795-123
WI
1041C0700X
Clinical Social Worker
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY
WI
Enumeration date
07/21/2021
Last updated
07/12/2022
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