Individual
CORYNN KATHLEEN WARTGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC, SAC-IT
Contact information
Practice address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
(888) 427-8048
Mailing address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
(888) 427-8048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19533-130
WI
101YP2500X
Professional Counselor
Primary
11329-125
WI
Other
Enumeration date
05/19/2022
Last updated
03/24/2025
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