Individual
KIMBERLY HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
511 MADISON AVE, FORT ATKINSON, WI 53538-1444
(920) 541-3078
Mailing address
511 MADISON AVE, FORT ATKINSON, WI 53538-1444
(920) 541-3078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16938-130
WI
101YP2500X
Professional Counselor
Primary
1471-226
WI
Other
Enumeration date
05/26/2015
Last updated
01/02/2026
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