SHAWNA KLETZINE NPI 1588121313

NPI Information

NPI: 1588121313
Provider Name: SHAWNA KLETZINE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
210 WASHINGTON ST
WAUSAU, WI
ZIP 54403
Phone: (715) 845-3637
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Shawna Kletzine is an addiction (substance use disorder) counselor in Wausau, WI. Shawna Kletzine NPI is 1588121313. 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:

210 WASHINGTON ST
WAUSAU, WI
ZIP 54403-543
Phone: (715) 845-3637
Fax: (715) 845-1977

The enumeration date for this NPI number is 2/28/2019 and was last updated on 2/28/2019.

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)	18483130	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18453-130	OTHER	WISCONSIN	SAC-IT

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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