Individual provider · Type 1 NPI

Korah Lee Petrasko, LPC

Professional Counselor · Appleton, WI

NPI number 1346741345 Active

Practice location

711 N Lynndale Dr Ste 1A
Appleton, WI 54914-3078

Call (920) 560-4525 Map

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X3831-226 (WI)
Professional Counselor Primary 101YP2500X8166 (WI)

Professional Counselor: Definition to come...

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About NPI 1346741345

Korah Lee Petrasko, LPC's National Provider Identifier is 1346741345, issued on Feb 24, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Appleton, WI. The record was last updated on Jan 7, 2025.