Individual
KALIE BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT, NCC
Contact information
Practice address
818 WEST ST STE 814, WATERTOWN, WI 53094-1201
(920) 545-4357
Mailing address
612 SWEETBRIAR LN, WATERTOWN, WI 53098-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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