Individual
EMMA KEIFENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 E MILWAUKEE ST, JEFFERSON, WI 53549-1636
(262) 607-2770
Mailing address
470 MARY LEE DR, FOND DU LAC, WI 54935-1846
(920) 791-7817
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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