Individual
KEVIN WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 E FITZSIMMONS RD, OAK CREEK, WI 53154-5205
(414) 975-2843
Mailing address
1021 E FITZSIMMONS RD, OAK CREEK, WI 53154-5205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6806-125
WI
Other
Enumeration date
10/15/2015
Last updated
02/26/2025
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