Individual
MAI KUE KRASUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
N54W26176 BODEN LN, SUSSEX, WI 53089-4269
(414) 294-8240
Mailing address
N54W26176 BODEN LN, SUSSEX, WI 53089-4269
(414) 294-8240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WI
103TC0700X
Clinical Psychologist
Primary
5228-57
WI
1041C0700X
Clinical Social Worker
128914-121
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128914-121
LICENSE
WI
01
—
5228-57
DSPS
WI
Enumeration date
02/19/2013
Last updated
11/26/2025
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