Lumos
NPI #1376301382 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1376301382
- Entity Type
- Organization
- Organization Name
- Lumos
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 13, 2024
- Last Updated
- Mar 13, 2024
Practice Location
- Address
- 131 S MAIN ST STE M05
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-4386
- Phone
- (920) 659-5414
Authorized Official
- Name
- KAITLYN KENEALY, LPC
- Title
- OWNER
- Phone
- (612) 790-6230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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