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Kerah Mae Modesti, LPC-IT
Professional Counselor in Kenosha, Wisconsin
NPI 1477133510

Kerah Mae Modesti is a Professional Counselor based in Kenosha, WI and is specialized in Professional. Kerah Mae Modesti practices in Kenosha, WI and has the professional credentials of LPC-IT. The NPI Number for Kerah Mae Modesti is 1477133510 and holds a License No. (Wisconsin).

The current practice location address for Kerah Mae Modesti is 2108 63Rd St, Kenosha, WI and can be reached out via phone at 262-652-2406.

Location: 2108 63Rd St, Kenosha, WI, 53142-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477133510
Provider Name
Kerah Mae Modesti
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
2108 63Rd St, Kenosha, WI, 53142-7015
Phone Number
262-652-2406
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
person
Provider Business Mailing Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
10155-125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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