Provider Demographics
NPI:1669737078
Name:FLEURIMOND, KRISTIE J (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:KRISTIE
Middle Name:J
Last Name:FLEURIMOND
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6513 W FLORAL LN
Mailing Address - Street 2:
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1231
Mailing Address - Country:US
Mailing Address - Phone:715-897-3691
Mailing Address - Fax:
Practice Address - Street 1:6513 W FLORAL LN
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-1231
Practice Address - Country:US
Practice Address - Phone:715-897-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5499-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional