Individual
MRS. ATHENA KJELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Mailing address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WI
101YM0800X
Mental Health Counselor
Primary
6811-125
WI
Other
Enumeration date
06/09/2016
Last updated
08/12/2019
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