| NPI | 1568790954 |
|---|---|
| Doing Business As | KETTLE MORAINE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | DEVONA LYNN MARSHALL Owner/Director 262-334-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WI 3514-125) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2020-01-14 |