Individual
EMERALD M KAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 WASHINGTON AVE, OSHKOSH, WI 54901-5030
(920) 236-4714
Mailing address
PO BOX 9, 1300 SOUTH DRIVE, WINNEBAGO, WI 54985-0009
(920) 235-4910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15558
WI
390200000X
Student in an Organized Health Care Education/Training Program
14706
WI
Other
Enumeration date
07/29/2008
Last updated
04/08/2022
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