Individual
KATHLEEN MUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, SAC-IT
Contact information
Practice address
N19W24101 RIVERWOOD DR, WAUKESHA, WI 53188-1109
(262) 444-0601
Mailing address
3276 N 50TH ST, MILWAUKEE, WI 53216-3212
(843) 810-0366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20558-130
WI
225A00000X
Music Therapist
13256
NC
Other
Enumeration date
11/12/2024
Last updated
03/18/2025
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