Individual
KEZIAH SHERRI LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
(920) 926-8933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11286-125
WI
101YP2500X
Professional Counselor
Primary
12336-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609482249
—
WI
Enumeration date
09/18/2020
Last updated
04/17/2026
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