Kevin L. Doss
Mental Health Counselor in Madison, WI(View on Map)
Full Name
Kevin Llewellyn Doss
NPI Number
1053825927
NPI Type
Individual Provider
Gender
Male
Enumeration Date
11/29/2017
Specialties
(Taxonomies)Code
101YM0800X
101YA0400X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
Wisconsin
Wisconsin
Wisconsin
License Number
7955-226
16481-132
16481
18245-130
Contact
Information
Purpose
Mailing
Location
Address
815 FORWARD DRIVE
2701 INTERNATIONAL LN STE 201
City
Madison
Madison
State
WI
WI
Postal Code
53711-2443
53704-3126
Country
US
US
Telephone Number
(608) 268-6530
(608) 268-6530
Identifiers
Identifier
10077155
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/30/2024