Individual
KATHLEEN R ROTHMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,CADC III, LCSW
Contact information
Practice address
4810 NORTHWESTERN AVE, RACINE, WI 53406-1504
(262) 637-9984
(262) 637-9995
Mailing address
4810 NORTHWESTERN AVE, RACINE, WI 53406-1504
(262) 637-9984
(262) 637-9995
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
289
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
289-132
WI
1041C0700X
Clinical Social Worker
Primary
246-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39560300
—
WI
Enumeration date
02/13/2007
Last updated
09/23/2010
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