Individual
MICHAEL E KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC, NCAC I
Contact information
Practice address
1045 W GLEN OAKS LN # 205, MEQUON, WI 53092-3467
(414) 235-0431
Mailing address
1045 W GLEN OAKS LN # 205, MEQUON, WI 53092-3467
(414) 235-0431
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11269-132
WI
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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