Individual
KASSIDY VENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
N14W23777 STONE RIDGE DR STE 135, WAUKESHA, WI 53188-1164
(262) 701-7102
Mailing address
2262 N 72ND ST, WAUWATOSA, WI 53213-1808
(920) 948-4149
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11316
WI
Other
Enumeration date
06/01/2023
Last updated
01/23/2025
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