Individual
ANN ELIZABETH KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LPC
Contact information
Practice address
1810 APPLETON ROAD, MENASHA, WI 54952
(920) 739-4226
(920) 739-7639
Mailing address
1810 APPLETON ROAD, MENASHA, WI 54952
(920) 739-4226
(920) 739-7639
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1221 125
WI
1041C0700X
Clinical Social Worker
Primary
2259 123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39629900
—
WI
Enumeration date
01/17/2007
Last updated
10/12/2020
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