Individual
MRS. KATHLEEN KIM THOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, LPC
Contact information
Practice address
40 JEWELERS PARK DR STE 200, NEENAH, WI 54956-3893
(920) 486-4288
(920) 486-4287
Mailing address
W6710 GREENRIDGE DR, GREENVILLE, WI 54942-8675
(815) 535-7399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.002173
IL
101YM0800X
Mental Health Counselor
5646
WI
101YP2500X
Professional Counselor
5646
WI
101YP2500X
Professional Counselor
Primary
—
—
101YS0200X
School Counselor
1776001
IL
Other
Enumeration date
02/18/2007
Last updated
10/24/2019
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