person
Kathleen M Herbison Kisting, CSAC
Addiction (Substance Use Disorder) Counselor in Balsam Lake, Wisconsin
NPI 1427271147

Kathleen M Herbison Kisting is an Addiction (Substance Use Disorder) Counselor based in Rice Lake, WI and is specialized in Addiction (Substance Use Disorder). Kathleen M Herbison Kisting practices in Balsam Lake, WI and has the professional credentials of CSAC. The NPI Number for Kathleen M Herbison Kisting is 1427271147 and holds a License No. 775 132 (Wisconsin).

The current practice location address for Kathleen M Herbison Kisting is 100 Polk County Plz, Balsam Lake, WI and can be reached out via phone at 715-485-8463 and via fax at 715-485-8490.

Location: 100 Polk County Plz, Balsam Lake, WI, 54868-9752
person
Provider Profile Details
NPI Number
1427271147
Provider Name
Kathleen M Herbison Kisting
Credential
CSAC
Provider Entity Type
Individual
Gender
Female
Address
100 Polk County Plz, Balsam Lake, WI, 54868-9752
Phone Number
715-485-8463
Fax Number
715-485-8490
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39345700 05 WI
663731021639 01 WI PREFERREDONE INSURANCE
372795 01 WI MHN HMC INSURANCE
institution
Provider Business Practice Location Address Details
Address
100 Polk County Plz
City
State
Zip
54810-9071
Phone Number
715-485-8463
Fax Number
715-485-8490
person
Provider Business Mailing Address Details
Address
100 Polk County Plz
City
State
Zip
54810-9071
Phone Number
715-485-8463
Fax Number
715-485-8490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
775 132 (Wisconsin)
Definition
Definition to come...
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