Individual
MRS. KELLY MARIE BUESCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542
Mailing address
504 LAKELAND RD, SHAWANO, WI 54166-3836
(715) 526-5547
(715) 526-5542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
360-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43733800
—
WI
Enumeration date
05/01/2008
Last updated
01/28/2011
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