Individual
CASSANDRA GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
Mailing address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 488-3265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11254-125
WI
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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