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Individual

CARMEN REGINA KLENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(262) 355-4456
Mailing address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(262) 355-4456

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16588-132
WI
101YM0800X
Mental Health Counselor
Primary
7575-125
WI
101YS0200X
School Counselor
WI

Other

Enumeration date
05/23/2018
Last updated
04/13/2026
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