Provider Demographics
NPI:1073719993
Name:LITTIG, KAREN P (LPC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:LITTIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WHITE OAK RD
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:WI
Mailing Address - Zip Code:53125-1110
Mailing Address - Country:US
Mailing Address - Phone:262-394-5443
Mailing Address - Fax:262-394-5443
Practice Address - Street 1:310 WHITE OAK RD # 16
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:WI
Practice Address - Zip Code:53125-1110
Practice Address - Country:US
Practice Address - Phone:262-394-5443
Practice Address - Fax:262-394-5443
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3911-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1073719993OtherBCBSWI
WI1073719993Medicaid
WI43721500Medicaid