Mari J Kriescher, MS,LPC,CSAC,ICS
Counselor, Professional in Green Bay, WI. Individual provider (NPI-1).
NPI number1629068192
StatusActive
Last updated in NPPESJan 21, 2021
Details
- NPI
- 1629068192
- Entity type
- Individual (NPI-1)
- Name
- Mari J Kriescher
- Credential
- MS,LPC,CSAC,ICS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2005
- Certification date
- Jan 21, 2021
- Last updated
- Jan 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4693-125 | WI | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 11704-132 | WI | |
| 1041C0700X | Social Worker, Clinical | 11704 | WI |
Practice location
2640 W Point RdGreen Bay, WI 54304-1344
Phone 920-869-2711
Mailing address
Po Box 365Oneida, WI 54155-0365
Phone 920-896-2711
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