Individual
KAMELA D. CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-5555
(608) 756-0174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WI
101YP2500X
Professional Counselor
Primary
4113-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013164458
—
WI
Enumeration date
08/27/2008
Last updated
12/23/2015
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