Individual
KEVIN TISSOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 N MAYFAIR RD, WAUWATOSA, WI 53226-1309
(414) 257-0233
(414) 257-3588
Mailing address
2600 N MAYFAIR RD, WAUWATOSA, WI 53226-1309
(414) 257-0233
(414) 257-3588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4175-125
WI
Other
Enumeration date
05/11/2007
Last updated
03/03/2025
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