Individual
COLLEEN LYNN KASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
1971 WASHINGTON ST STE 200, GRAFTON, WI 53024-2125
(262) 377-6276
(262) 377-6289
Mailing address
1971 WASHINGTON ST STE 200, GRAFTON, WI 53024-2125
(262) 377-6276
(262) 377-6289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18529-130
WI
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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