MEDICARE: KARINA FALCON GONZALEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor		WI

General Provider Information

NPI Number	:	1174456446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA FALCON GONZALEZ

Provider Business Mailing Address
First Line	:	365 FIR LN
Second Line	:
City	:	MARSHALL
State	:	WI
Zip	:	53559-9229
Country	:	US
Telephone Number	:	608-520-7195
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 LOIS DR
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1100
Country	:	US
Telephone Number	:	608-837-9112
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ KARINA FALCON GONZALEZ ” Practice Location

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