Individual
DANIEL KITZHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
Mailing address
9337 HALF MILE DR, MARSHFIELD, WI 54449-9680
(715) 600-0521
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7773-226
WI
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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