Individual
KYLE CLEMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
203 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4402
Mailing address
PO BOX 309, SIREN, WI 54872-0309
(715) 327-7112
(888) 625-8634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8059
WI
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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