Individual
KERRI CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E WASHINGTON ST STE 2100, WEST BEND, WI 53095
(262) 335-4600
Mailing address
333 E WASHINGTON ST, WEST BEND, WI 53095-2585
(262) 335-4795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16951-130
WI
101YM0800X
Mental Health Counselor
Primary
6943-125
WI
Other
Enumeration date
12/06/2013
Last updated
06/05/2018
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