Individual
MR. KENNETH JOHN SCHROEDER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(920) 538-4504
(920) 982-5040
Mailing address
1520 N MCCARTHY RD APT 8, APPLETON, WI 54913-8296
(920) 531-2653
(920) 982-5040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2679-226
WI
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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