Katrina Kiefer Matthias, LPC
Counselor, Professional in Mt Pleasant, WI. Individual provider (NPI-1).
NPI number1124621222
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1124621222
- Entity type
- Individual (NPI-1)
- Name
- Katrina Kiefer Matthias
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2020
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7887 | WI | Yes |
| 101YM0800X | Counselor, Mental Health | 7887-125 | WI |
Practice location
8800 Washington Ave Ste 300Mt Pleasant, WI 53406-3705
Phone 262-633-3591
Mailing address
8800 Washington Ave Ste 300Mt Pleasant, WI 53406-3705
Phone 262-663-3591
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