Individual
MRS. KIMBERLY A KNITTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3021 HOLMGREN WAY STE 200, GREEN BAY, WI 54304-6303
(920) 351-3500
Mailing address
3021 HOLMGREN WAY, STE 200, GREEN BAY, WI 54304
(920) 351-3500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4318-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174670244
—
WI
Enumeration date
10/15/2009
Last updated
07/21/2022
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