Provider Demographics
NPI:1083916639
Name:KRAUSE, KAROLEE A (NCC, SAC)
Entity Type:Individual
Prefix:MS
First Name:KAROLEE
Middle Name:A
Last Name:KRAUSE
Suffix:
Gender:F
Credentials:NCC, SAC
Other - Prefix:MS
Other - First Name:KAROLEE
Other - Middle Name:A
Other - Last Name:LODAHL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:817 WHITING AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-5246
Mailing Address - Country:US
Mailing Address - Phone:715-345-5897
Mailing Address - Fax:
Practice Address - Street 1:817 WHITING AVE
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-5246
Practice Address - Country:US
Practice Address - Phone:715-345-5897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI896-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health