Individual
KIMBERLY LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
7600 W CAPITOL DR, MILWAUKEE, WI 53222-2055
(414) 905-3100
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8540
WI
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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