KRYSTLE ELIZABETH HAVILAND LPC CSAC ICS NPI 1750653580

NPI Information

NPI: 1750653580
Provider Name: KRYSTLE ELIZABETH HAVILAND, LPC, CSAC, ICS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
159 S FAIR OAKS AVE
MADISON, WI
ZIP 53704
Phone: (608) 620-5209
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Krystle Elizabeth Haviland, LPC, CSAC, ICS is a mental health counselor in Madison, WI. Krystle Elizabeth Haviland, LPC, CSAC, ICS NPI is 1750653580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

159 S FAIR OAKS AVE
MADISON, WI
ZIP 53704-820
Phone: (608) 620-5209

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16489-130	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health			No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
4	101YM0800X	Counselor	Mental Health	1238-266	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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