Individual
KATHY LYNN FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6040 W LISBON AVE, MILWAUKEE, WI 53210-2116
(414) 871-9111
(414) 871-9121
Mailing address
4230 LOCUST ST, DELAVAN, WI 53115-3441
(815) 979-4033
(262) 806-7246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3473-125
—
101YM0800X
Mental Health Counselor
3473-125
WI
101YP2500X
Professional Counselor
Primary
3473-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40785900
—
WI
Enumeration date
08/01/2006
Last updated
10/15/2024
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