Healthcare Provider Details

I. General information

NPI: 1528332046
Provider Name (Legal Business Name): KRISTA ANN BESSETTE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTA ANN DUDLEY LPC

II. Dates (important events)

Enumeration Date: 03/01/2012
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

S74W16775 JANESVILLE RD
MUSKEGO WI
53150-8618
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-422-2430
  • Fax:
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5410-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: