Vesbach, Kristen L

Vesbach, Kristen L is an individual health care provider with primary practice located at 2976 Triverton Pike Dr Suite 119, Fitchburg WI 53711-5840. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Vesbach, Kristen L can be contacted via phone (262) 719-6569.

Contact Information

Primary practice address
2976 Triverton Pike Dr Suite 119 Fitchburg WI 53711-5840
Phone: (262) 719-6569
Fax: (608) 286-1088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 97-36 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5219-125 Wisconsin

Profile Details

NPI number 1336416635
LBN Legal business name Vesbach, Kristen L
Credentials MS, LPC, ATR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2011
Last updated Dec 1st, 2015 - about 9 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 1336416635 NPPES
Wisconsin MEDICAID 1336416635

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