Individual
KEVIN MICHAEL REINHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W6254 US HIGHWAY 10 114, MENASHA, WI 54952-9638
(920) 209-9194
Mailing address
3128 N BALLARD RD APT 24, APPLETON, WI 54911-8717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3716-226
WI
Other
Enumeration date
10/19/2017
Last updated
03/17/2018
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