Provider Demographics
NPI:1538609813
Name:KROHN, KAITLYN (LPCIT, SACIT)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:KROHN
Suffix:
Gender:F
Credentials:LPCIT, SACIT
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:
Other - Last Name:MULTHAUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 N LYNNDALE DR
Mailing Address - Street 2:C
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-3056
Mailing Address - Country:US
Mailing Address - Phone:920-735-9010
Mailing Address - Fax:920-735-9050
Practice Address - Street 1:1000 N LYNNDALE DR
Practice Address - Street 2:C
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3056
Practice Address - Country:US
Practice Address - Phone:920-735-9010
Practice Address - Fax:920-735-9050
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3096-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health