Individual
MRS. KRISTI PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SAC-IT
Contact information
Practice address
575 LESTER AVE STE 100, ONALASKA, WI 54650-8695
(608) 783-1452
(608) 783-1456
Mailing address
575 LESTER AVE, ONALASKA, WI 54650-8694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17886
WI
101YP2500X
Professional Counselor
Primary
6858
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045005
—
WI
Enumeration date
01/03/2017
Last updated
04/02/2018
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