Individual
KELLY A DUBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2323 N LAKE DR FL 1, MILWAUKEE, WI 53211-4508
(414) 585-6120
Mailing address
2323 N LAKE DR FL 1, MILWAUKEE, WI 53211-4508
(414) 585-6120
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3633-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41008600
—
WI
Enumeration date
09/25/2006
Last updated
10/04/2023
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