Individual
MS. RENEE DANIELLE KIRCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-2700
Mailing address
25 KESSEL CT STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18653
WI
101YP2500X
Professional Counselor
Primary
4092
WI
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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