Individual
MS. KIMBERLEY M WELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
926 WILLARD DR STE 136, GREEN BAY, WI 54304-5296
(920) 461-5820
(888) 449-6342
Mailing address
3902 MILWAUKEE ST # W652, MADISON, WI 53707-5001
(920) 461-5820
(888) 449-6342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
790-124
WI
106H00000X
Marriage & Family Therapist
MBTMFT-10225
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43732400
—
WI
Enumeration date
03/25/2008
Last updated
04/04/2024
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