Individual provider · Type 1 NPI

Caroline Chalk, LPC-IT, SAC-IT

Professional Counselor · Wautoma, WI

NPI number 1316531932 Active

Practice location

400 S Townline Rd
Wautoma, WI 54982-6922

Call (920) 787-5514 Map

Other practice locations

  • 302 W. Lake St, Friendship, WI 53934 · (608) 474-4355

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19114-130 (WI)
Professional Counselor Primary 101YP2500X4651-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1316531932

Caroline Chalk, LPC-IT, SAC-IT's National Provider Identifier is 1316531932, issued on Feb 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wautoma, WI. The record was last updated on Feb 24, 2021.