Individual
KOURTNEY KAYE LECHNER ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
620 W BROWN ST, WAUPUN, WI 53963
(920) 926-4200
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6399-125
WI
Other
Enumeration date
02/12/2018
Last updated
07/16/2018
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