Individual
KATHRYN EILEEN KEEFE-NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED, LPC
Contact information
Practice address
1810 APPLETON RD, MENASHA, WI 54952-1110
(920) 739-4226
(920) 739-7639
Mailing address
PO BOX 22308, GREEN BAY, WI 54305-2308
(920) 436-4360
(920) 432-5966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2627-226
WI
101YP2500X
Professional Counselor
Primary
6776
WI
Other
Enumeration date
08/26/2015
Last updated
01/15/2018
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