Kriescher, Mari J

Kriescher, Mari J is an individual health care provider with primary practice located at 2640 W Point Rd , Green Bay WI 54304-1344. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kriescher, Mari J can be contacted via phone (920) 869-2711.

Contact Information

Primary practice address
2640 W Point Rd Green Bay WI 54304-1344
Phone: (920) 869-2711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11704-132 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 11704 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 4693-125 Wisconsin

Profile Details

NPI number 1629068192
LBN Legal business name Kriescher, Mari J
Credentials MS,LPC,CSAC,ICS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629068192 NPPES
Wisconsin MEDICAID 39393400

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