Individual
MS. KIM L ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
401 S ELM ST, APPLETON, WI 54911-5900
(920) 832-5270
(920) 832-5488
Mailing address
401 S ELM ST, APPLETON, WI 54911-5900
(920) 832-5270
(920) 832-5488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15359-132
WI
101YP2500X
Professional Counselor
Primary
4403-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39179500
—
WI
Enumeration date
07/30/2007
Last updated
08/25/2014
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