Kuczmarski, Teresa M

Kuczmarski, Teresa M is an individual health care provider with primary practice located at 901 N 6Th St , Wausau WI 54403-4718. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kuczmarski, Teresa M can be contacted via phone (715) 848-5022.

Contact Information

Primary practice address
901 N 6Th St Wausau WI 54403-4718
Phone: (715) 848-5022
Fax: (888) 778-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1369-226 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5972-125 Wisconsin

Profile Details

NPI number 1295178051
LBN Legal business name Kuczmarski, Teresa M
Credentials MS, LPC-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2013
Last updated Nov 16th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295178051 NPPES
Wisconsin MEDICAID 100033670

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