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Kirsten Elise Seline, LPC-IT, SAC-IT

Counselor in West Bend, WI. Individual provider (NPI-1).

NPI number1255083192
StatusActive
Last updated in NPPESJan 21, 2022

Details

NPI
1255083192
Entity type
Individual (NPI-1)
Name
Kirsten Elise Seline
Credential
LPC-IT, SAC-IT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 21, 2022
Certification date
Jan 21, 2022
Last updated
Jan 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor5074WIYes

Practice location

724 Elm St
West Bend, WI 53095-3205

Phone 262-353-9701

Mailing address

6233 39th Ave
Kenosha, WI 53142-7015

Phone 262-654-1004

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