Organization
DAVID KLIMISCH LPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J. KLIMISCH LPC (PRESIDENT)
(262) 261-6998
Entity
Organization
Contact information
Practice address
6123 GREEN BAY RD STE 240, KENOSHA, WI 53142-2927
(262) 261-6998
(262) 748-1407
Mailing address
6123 GREEN BAY RD STE 240, KENOSHA, WI 53142-2927
(262) 564-5305
(262) 564-5306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427544337
—
WI
Enumeration date
10/23/2019
Last updated
11/06/2025
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