Provider Demographics
NPI:1235860495
Name:KAUFFMAN, DELANEY RAYE (MS, LPC)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:RAYE
Last Name:KAUFFMAN
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 1:2031 32ND ST S STE 108
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-7099
Mailing Address - Country:US
Mailing Address - Phone:608-383-4042
Mailing Address - Fax:608-383-6198
Practice Address - Street 1:2031 32ND ST S STE 108
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-7099
Practice Address - Country:US
Practice Address - Phone:608-383-4042
Practice Address - Fax:608-383-6198
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YM0800X
106S00000X
WI11786-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician