Individual
KYLA WESSELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(414) 425-5660
Mailing address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(566) 041-4425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164571667
—
WI
Enumeration date
02/06/2018
Last updated
01/20/2022
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