| Doctor Name: | MRS. KRISTIN LAUREL METOXEN |
| NPI Number: | 1649356882 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 3848-125 |
| Business Practice Address: | 206 Court St Chilton, WI - 530141127 |
| Business Phone Number: | 9208491400 |
| Business Fax Number: | 9208491468 |
| Mailing Address: | 3615 S Timber Trl, SUAMICO |
| State: | WI |
| Postal Code: | 541738267 |
| Phone Number: | 9203663227 |
| Fax Number: | |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 09/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3848-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |