Individual
KEVIN ROUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2762 S DELAWARE AVE, MILWAUKEE, WI 53207-2344
(214) 310-8659
Mailing address
2762 S DELAWARE AVE, MILWAUKEE, WI 53207-2344
(214) 310-8659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10393-125
WI
101YM0800X
Mental Health Counselor
10393-125
WI
101YP2500X
Professional Counselor
Primary
10393-125
WI
Other
Enumeration date
10/13/2023
Last updated
05/14/2024
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