Individual
KRISTIN MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
(262) 652-2931
Mailing address
4109 67TH ST, KENOSHA, WI 53142-3836
(262) 652-9830
(262) 652-2931
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14123
WI
101YP2500X
Professional Counselor
Primary
4095-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43742500
—
WI
Enumeration date
07/22/2006
Last updated
10/02/2008
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