Individual
KAITLYN MARIE VILLALPANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
575 4TH ST, KEWAUNEE, WI 54216-1785
(920) 388-4640
(920) 338-0479
Mailing address
744 S WEBSTER AVE, MEDICAL STAFF SERVICES, GREEN BAY, WI 54301-3505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3573-226
WI
101YP2500X
Professional Counselor
Primary
7465-125
WI
Other
Enumeration date
06/29/2017
Last updated
08/28/2024
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