person
Susan Klein Kennedy
Mental Health Counselor in Madison, Wisconsin
NPI 1902221484

Susan Klein Kennedy is a Mental Health Counselor based in Madison, WI and is specialized in Mental Health. Susan Klein Kennedy practices in Madison, WI. The NPI Number for Susan Klein Kennedy is 1902221484 and holds a License No. 413-132 (Wisconsin).

The current practice location address for Susan Klein Kennedy is 1015 Gammon Ln, Madison, WI and can be reached out via phone at 608-417-8144 and via fax at 608-271-3457.

Location: 1015 Gammon Ln, Madison, WI, 53719-2210
person
Provider Profile Details
NPI Number
1902221484
Provider Name
Susan Klein Kennedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
1015 Gammon Ln, Madison, WI, 53719-2210
Phone Number
608-417-8144
Fax Number
608-271-3457
Provider Enumeration Date
02/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1015 Gammon Ln
City
State
Zip
53719-2210
Phone Number
608-417-8144
Fax Number
608-271-3457
person
Provider Business Mailing Address Details
Address
1015 Gammon Ln
City
State
Zip
53719-2210
Phone Number
608-417-8144
Fax Number
608-271-3457
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1195-121 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
413-132 (Wisconsin)
Definition
Definition to come...
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