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Mr. Kevin S Gunderson, MSE
Professional Counselor in Green Bay, Wisconsin
NPI 1336454412

Kevin S Gunderson is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Kevin S Gunderson practices in Green Bay, WI and has the professional credentials of MSE. The NPI Number for Kevin S Gunderson is 1336454412 and holds a License No. 887-226 (Wisconsin).

The current practice location address for Kevin S Gunderson is 2745 Baylite Dr, Green Bay, WI and can be reached out via phone at 920-362-2152.

Location: 2745 Baylite Dr, Green Bay, WI, 54301-4313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336454412
Provider Name
Kevin S Gunderson
Credential
MSE
Provider Entity Type
Individual
Gender
Male
Address
2745 Baylite Dr, Green Bay, WI, 54301-4313
Phone Number
920-362-2152
Fax Number
Provider Enumeration Date
08/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100029719 05 WI
institution
Provider Business Practice Location Address Details
Address
2745 Baylite Dr
City
Green Bay
State
Wisconsin
Zip
54313-7173
Phone Number
920-362-2152
Fax Number
person
Provider Business Mailing Address Details
Address
2745 Baylite Dr
City
Green Bay
State
Wisconsin
Zip
54313-7173
Phone Number
920-362-2152
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
887-226 (Wisconsin)
Definition
Definition to come...
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