Organization
KETTLE MORAINE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA CATLETT LCPC, LPC, MA, MED (OWNER)
(262) 745-0368
Entity
Organization
Contact information
Practice address
N158 TAMARACK RD, PALMYRA, WI 53156-9789
(262) 745-0368
Mailing address
PO BOX 732, LAKE GENEVA, WI 53147-0732
(262) 745-0368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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