Individual
REBECCA KATHRYN KISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
Mailing address
E7475 RAWHIDE RD, NEW LONDON, WI 54961-9025
(877) 300-9101
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16130-131
WI
101YP2500X
Professional Counselor
Primary
6366-125
WI
Other
Enumeration date
09/07/2017
Last updated
09/11/2025
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