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Individual

KIERSTEN LYNETTE BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, SAC

Contact information

Practice address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
Mailing address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
(888) 427-8048

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18178-130
WI
101YP2500X
Professional Counselor
Primary
7631-25
WI

Other

Enumeration date
01/25/2018
Last updated
07/17/2023
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