Individual
DEBORAH LEWIS VANDERKINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
1519 E WASHINGTON ST STE A, WEST BEND, WI 53095-2615
(262) 346-4700
Mailing address
N170W20265 HUNTERS RD, JACKSON, WI 53037-9422
(920) 360-9619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16396-131
WI
101YM0800X
Mental Health Counselor
Primary
7596-125
WI
Other
Enumeration date
02/08/2020
Last updated
09/12/2023
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