Provider Demographics
NPI:1992506406
Name:PESATURE, KRISTEN (LPC-IT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:PESATURE
Suffix:
Gender:
Credentials:LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W. SEEBOTH STREET
Mailing Address - Street 2:UNIT 101
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-4322
Mailing Address - Country:US
Mailing Address - Phone:414-520-7880
Mailing Address - Fax:
Practice Address - Street 1:106 W SEEBOTH STREET
Practice Address - Street 2:UNIT 101
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-4322
Practice Address - Country:US
Practice Address - Phone:414-378-5379
Practice Address - Fax:844-508-7592
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8343226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional