Individual
MRS. KAYLA M OSTERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(920) 783-6633
Mailing address
3900 W BROWN DEER RD, STE 200, BROWN DEER, WI 53209-1220
(414) 540-2170
(414) 540-2171
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5430-125
WI
101YP2500X
Professional Counselor
921-226
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
5430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538413752
—
WI
Enumeration date
11/09/2012
Last updated
12/11/2019
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