Individual
REBECCA J KIENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW
Contact information
Practice address
300 FEMRITE DR, MONONA, WI 53716-3716
(608) 222-7311
(608) 222-5904
Mailing address
300 FEMRITE DR, MONONA, WI 53716-3716
(608) 222-7311
(608) 222-5904
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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