Individual
KIMBERLY KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2330 MEADOW PARK DR, GREEN BAY, WI 54311-6941
(920) 305-8535
Mailing address
2330 MEADOW PARK DR, GREEN BAY, WI 54311-6941
(920) 530-5853
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10394-125
WI
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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