Provider Demographics
NPI:1619312683
Name:CROCHIERE, WHITNEY M (MA, LPC)
Entity Type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:M
Last Name:CROCHIERE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:M
Other - Last Name:WIRTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:231940 N 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-5500
Mailing Address - Country:US
Mailing Address - Phone:715-340-9559
Mailing Address - Fax:
Practice Address - Street 1:3704 WESTON AVE
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-5242
Practice Address - Country:US
Practice Address - Phone:715-298-6364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health