Organization · Type 2 NPI
Creative Roots Counseling
Mental Health Counselor · Theresa, WI
NPI number
1740166495
Active
Practice location
N9450 Mohawk Rd Ste 113
Theresa, WI 53091-9770
Mailing address
W5175 County Road Y
Fond Du Lac, WI 54937-7783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1740166495
Creative Roots Counseling's National Provider Identifier is 1740166495, issued on Aug 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Theresa, WI. The record was last updated on Aug 15, 2025.