Individual provider · Type 1 NPI

Kristina M. Mauk, LPC, SAC-IT

Professional Counselor · Wausau, WI

NPI number 1780191973 Active

Practice location

500 N 3rd St Ste 220
Wausau, WI 54403-4857

Call (715) 575-1421 Map

Fax (844) 927-0227

Mailing address

910 Charles St
Edgar, WI 54426-9266

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X18261 (WI)
Professional Counselor Primary 101YP2500X7566 (WI)

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About NPI 1780191973

Kristina M. Mauk, LPC, SAC-IT's National Provider Identifier is 1780191973, issued on Jan 9, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wausau, WI. The record was last updated on Jun 25, 2020.