Individual provider · Type 1 NPI

Corynn Kathleen Wartgow, MS LPC, SAC-IT

Professional Counselor · Menomonie, WI

NPI number 1912644048 Active

Practice location

800 Wilson Ave Rm 330
Menomonie, WI 54751-2746

Fax (888) 427-8048

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19533-130 (WI)
Professional Counselor Primary 101YP2500X11329-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1912644048

Corynn Kathleen Wartgow, MS LPC, SAC-IT's National Provider Identifier is 1912644048, issued on May 19, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Menomonie, WI. The record was last updated on Mar 24, 2025.