Individual
KIM MAROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
321 SAINT GEORGE ST, GREEN BAY, WI 54302-1310
(920) 278-2620
(920) 278-7886
Mailing address
321 SAINT GEORGE ST, GREEN BAY, WI 54302-1310
(920) 278-2620
(920) 278-7886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4239-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760629026
—
WI
Enumeration date
01/08/2009
Last updated
08/08/2023
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