Individual
KIRSTEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, ATR
Contact information
Practice address
4655 N PORT WASHINGTON RD, GLENDALE, WI 53212-1004
(414) 292-4242
Mailing address
999 N 92ND ST, WAUWATOSA, WI 53226-4875
(414) 266-7615
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8425-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102354
—
WI
Enumeration date
06/25/2020
Last updated
07/24/2024
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