person
Kayla Petersen, LPC-IT
Professional Counselor in Ladysmith, Wisconsin
NPI 1649921362

Kayla Petersen is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Kayla Petersen practices in Ladysmith, WI and has the professional credentials of LPC-IT. The NPI Number for Kayla Petersen is 1649921362 and holds a License No. 5196226 (Wisconsin).

The current practice location address for Kayla Petersen is 1101 Lake Ave W, Ladysmith, WI and can be reached out via phone at 920-496-4700.

Location: 1101 Lake Ave W, Ladysmith, WI, 54307-9070
person
Provider Profile Details
NPI Number
1649921362
Provider Name
Kayla Petersen
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
1101 Lake Ave W, Ladysmith, WI, 54307-9070
Phone Number
920-496-4700
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 Lake Ave W
City
State
Zip
54848-1062
Phone Number
920-496-4700
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Lake Ave W
City
State
Zip
54848-1062
Phone Number
920-496-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5196226 (Wisconsin)
Definition
Definition to come...
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