Individual
KAYLEIGH ROSE EISOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
4200 N HOLTON ST, MILWAUKEE, WI 53212-1008
(414) 964-2565
Mailing address
4200 N HOLTON ST, MILWAUKEE, WI 53212-1008
(414) 964-2565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7802-226
WI
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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