Provider Information for 1134537129
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COURTNEY L KROLIKOWSKI LPC, LCMHC, NCC
Other Names:Former Name:COURTNEY L BAITTIE LPC, LCMHC, NCCSex: Female
NPI: 1134537129
Last Updated: 2023-09-22
Certification Date: 2023-09-22
Certification Date: 2023-09-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134537129 | ||||||||
| Enumeration Date | 2014-07-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 22040 GREEN BAY, WI 54305-2040 United States Phone: 920-445-7210 | Fax:920-445-7289 | ||||||||
| Primary Practice Address | 1325 ANGELS PATH DE PERE, WI 54115-4050 United States Phone: 920-338-2855 | Fax:920-338-9270 | ||||||||
| Secondary Practice Address(es) | 208 S MAPLE AVE | ||||||||
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