Individual
KAYLEE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1205 PROVINCE TER, MENASHA, WI 54952-7017
(920) 886-9319
Mailing address
1205 PROVINCE TER, MENASHA, WI 54952-7017
(920) 886-9319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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