Individual
KATHLEEN R DIONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Mailing address
10532 N PORT WASHINGTON RD, MEQUON, WI 53092-5563
(262) 242-3810
(262) 242-3816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
788-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
788-266
STATE OF WISCONSIN
WI
Enumeration date
07/31/2008
Last updated
03/31/2010
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