Provider Demographics
NPI:1053032813
Name:APPLEKAMP, CORRIN LAURENE (MS, LPC-IT, SAC-IT)
Entity type:Individual
Prefix:MRS
First Name:CORRIN
Middle Name:LAURENE
Last Name:APPLEKAMP
Suffix:
Gender:F
Credentials:MS, LPC-IT, SAC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-3767
Mailing Address - Country:US
Mailing Address - Phone:920-663-1035
Mailing Address - Fax:
Practice Address - Street 1:3 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-3767
Practice Address - Country:US
Practice Address - Phone:920-663-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5403-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health