Individual
KYLE KONKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
2510 E CAPITOL DR, SHOREWOOD, WI 53211-2136
(414) 507-2944
Mailing address
4529 N BARTLETT AVE, SHOREWOOD, WI 53211-1510
(414) 507-2944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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