Matthias, Katrina Kiefer

Matthias, Katrina Kiefer is an individual health care provider with primary practice located at 8800 Washington Ave Ste 300 , Mt Pleasant WI 53406-3705. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Matthias, Katrina Kiefer can be contacted via phone (262) 633-3591.

Contact Information

Primary practice address
8800 Washington Ave Ste 300 Mt Pleasant WI 53406-3705
Phone: (262) 633-3591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7887-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 7887 Wisconsin

Profile Details

NPI number 1124621222
LBN Legal business name Matthias, Katrina Kiefer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2020
Last updated Oct 17th, 2022 - about 4 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 1124621222 NPPES
Wisconsin MEDICAID 1124621222

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