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Organization
GENESIS BEHAVIORAL SERVICES, INC
Active
Organization
GENESIS BEHAVIORAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY A KUNZ MA,LPC,NCC,CSAC,ICS (DIRECTOR)
(262) 338-8611
Entity
Organization
Contact information
Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Mailing address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16431 - 130
WI
251S00000X
Community/Behavioral Health Agency
16431 - 130
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568620466
—
WI
Enumeration date
12/02/2011
Last updated
01/21/2021
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