| Doctor Name: | MRS. CRISTINA LYNNE KROEZE |
| NPI Number: | 1114315660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 128662-121 |
| Business Practice Address: | 1969 W Hart Rd Counseling Care Center Beloit, WI - 535112230 |
| Business Phone Number: | 6083645686 |
| Business Fax Number: | |
| Mailing Address: | 1969 W Hart Rd, Counseling Care Center BELOIT |
| State: | WI |
| Postal Code: | 535112230 |
| Phone Number: | 6083645686 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2015 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 128662-121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |