Individual
KAREN KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 848-4600
(715) 845-5398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15492-131
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15492-131
STATE LICENSE
WI
Enumeration date
05/08/2009
Last updated
04/15/2013
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