Search › Wisconsin › 101YP2500X
Korah Petrasko, LPC
NPI 1346741345 · on the registry since 2018
Practice
- Address
- 711 N Lynndale Dr Ste 1a
Appleton, WI 54914 - Phone
- (920) 560-4525
- Organisation at this address
- Gjb Eeg Services, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin