Individual
MRS. KIMBERLY HEATHER WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1231 S ROCHESTER ST STE 260A, MUKWONAGO, WI 53149-9031
(262) 374-4150
Mailing address
1231 S ROCHESTER ST STE 260A, MUKWONAGO, WI 53149-9031
(262) 374-4150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7606-125
WI
101YP2500X
Professional Counselor
7606-125
WI
Other
Enumeration date
05/23/2018
Last updated
09/16/2025
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