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1154836039 NPI number — KRISTEN KIMBLE HOUSLET LPC

NPI Number: 1154836039
Health Care Provider/Practitioner: KRISTEN KIMBLE HOUSLET LPC

Information about “1154836039” NPI (KRISTEN KIMBLE HOUSLET LPC) exists in 1154836039 in HTML format HTML  |  1154836039 in plain Text format TXT  |  1154836039 in PDF (Portable Document Format) PDF  |  1154836039 in an XML format XML  formats.

NPI Number : 1154836039 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154836039",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HOUSLET",
    "FirstName": "KRISTEN",
    "MiddleName": "KIMBLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROBATCEK",
    "OtherFirstName": "KRISTEN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "571 BRAUND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ONALASKA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54650-8556",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-785-7000",
    "MailingAddressFaxNumber": "608-785-7477",
    "FirstLinePracticeLocationAddress": "302 W LAKE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRIENDSHIP",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53934-9698",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-474-4355",
    "PracticeLocationAddressFaxNumber": "608-474-4309",
    "EnumerationDate": "12/13/2017",
    "LastUpdateDate": "11/11/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "7628-125",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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