Individual
KAITLYN KENEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
131 S MAIN ST STE M05, FOND DU LAC, WI 54935-4386
(920) 659-5414
Mailing address
131 S MAIN ST STE M05, FOND DU LAC, WI 54935-4386
(920) 659-5414
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7577-125
WI
Other
Enumeration date
01/08/2018
Last updated
03/18/2024
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