KERAH MAE MODESTI

KENOSHA, WI
NPI1477133510
Former NameKERAH MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  10155-125)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2021-04-13
Last Update Date2022-11-21
Business Address
KERAH MAE MODESTI LPC-IT
2108 63RD ST
KENOSHA, WI 53143-4454
Phone number: 262-652-2406
Mailing Address
KERAH MAE MODESTI LPC-IT
6233 39TH AVE
KENOSHA, WI 53142-7015
Phone number: 262-654-1004