Provider Demographics
NPI:1386433449
Name:CALO, IRELAND (MS, LPC-IT)
Entity type:Individual
Prefix:
First Name:IRELAND
Middle Name:
Last Name:CALO
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 STARK ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-5154
Mailing Address - Country:US
Mailing Address - Phone:715-571-3837
Mailing Address - Fax:
Practice Address - Street 1:516 MCCLELLAN ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-4844
Practice Address - Country:US
Practice Address - Phone:715-226-6441
Practice Address - Fax:715-504-8786
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8376-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional