Individual
KIMBERLY KAYE TRICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
153 N WESTERN AVE, NEENAH, WI 54956-2225
(715) 315-0930
Mailing address
153 N WESTERN AVE, NEENAH, WI 54956-2225
(715) 315-0930
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4641-125
WI
Other
Enumeration date
06/20/2012
Last updated
10/09/2024
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