Individual
MICHAEL RICHARD KIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
3636 N 124TH ST STE 300, WAUWATOSA, WI 53222-2125
(414) 476-9755
Mailing address
3636 N 124TH ST STE 300, WAUWATOSA, WI 53222-2125
(414) 476-9755
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
NO. 3104-226
WI
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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