| Doctor Name: | KRISTINA L DWYER |
| NPI Number: | 1033242516 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 4918 |
| Business Practice Address: | 1500 N 34th St Suite 200 Superior, WI - 548804477 |
| Business Phone Number: | 7153928216 |
| Business Fax Number: | 7153926055 |
| Mailing Address: | 1401 E 1st St, DULUTH |
| State: | MN |
| Postal Code: | 558052407 |
| Phone Number: | 2187284491 |
| Fax Number: | 2187284404 |
| NPI Enumeration Date: | 03/13/2007 |
| NPI Last Update Date: | 04/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4918 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |