person
Caroline Chalk, LPC-IT,SAC-IT
Professional Counselor in Wautoma, Wisconsin
NPI 1316531932

Caroline Chalk is a Professional Counselor based in Wautoma, WI and is specialized in Professional. Caroline Chalk practices in Wautoma, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Caroline Chalk is 1316531932 and holds a License No. 19114-130 (Wisconsin).

The current practice location address for Caroline Chalk is 400 S Townline Rd, Wautoma, WI and can be reached out via phone at 920-787-5514.

Location: 400 S Townline Rd, Wautoma, WI, 54982-6922
person
Provider Profile Details
NPI Number
1316531932
Provider Name
Caroline Chalk
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
400 S Townline Rd, Wautoma, WI, 54982-6922
Phone Number
920-787-5514
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 S Townline Rd
City
State
Zip
54982-6922
Phone Number
920-787-5514
Fax Number
person
Provider Business Mailing Address Details
Address
400 S Townline Rd
City
State
Zip
54982-6922
Phone Number
920-787-5514
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4651-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19114-130 (Wisconsin)
Definition
Definition to come...
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