Healthcare Provider Details

I. General information

NPI: 1447795208
Provider Name (Legal Business Name): KRISTEN N COWELL M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2017
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W 1ST ST STE 270
NEW RICHMOND WI
54017-1770
US

IV. Provider business mailing address

150 W 1ST ST STE 270
NEW RICHMOND WI
54017-1770
US

V. Phone/Fax

Practice location:
  • Phone: 715-246-4840
  • Fax: 715-254-9459
Mailing address:
  • Phone: 715-246-4840
  • Fax: 715-254-9459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: