Organization

Kettle Moraine Counseling Llc

May also be knows as Kettle Moraine Counseling

Mental Health Clinic/Center (Including Community Mental Health Center) in West Bend, WI(View on Map)

Legal Business Name

Kettle Moraine Counseling Llc

Also Known As

Kettle Moraine Counseling

NPI Number

1568790954

NPI Type

Organization

Enumeration Date

11/24/2009

Specialties

(Taxonomies)

Licenses

State

Wisconsin

License Number

3514-125

Contact
Information

Purpose

Mailing
Location

Address

400 W RIVER DR
400 W RIVER DR

City

West Bend
West Bend

State

WI
WI

Postal Code

53090-1567
53090-1567

Country

US
US

Telephone Number

(262) 334-4340
(262) 334-4340

Authorized Official

Name

Devona Marshall

Title or Position

OWNER/DIRECTOR

Telephone Number

(262) 334-4340

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/14/2020

Provider Address

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