Kettle Moraine Counseling LLC

NPI #1568790954 in West Bend, Wisconsin

Provider Information

NPI Number
1568790954
Entity Type
Organization
Organization Name
Kettle Moraine Counseling LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Nov 24, 2009
Last Updated
Jan 14, 2020

Practice Location

Address
400 W RIVER DR
ZIP Code
53090-1567
Phone
(262) 334-4340

Authorized Official

Name
DEVONA LYNN MARSHALL, MS LPC NCC
Title
OWNER/DIRECTOR
Phone
(262) 334-4340

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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