Individual provider · Type 1 NPI

Coleen Rae Kittleson, LPC, NCC

Professional Counselor · Elm Grove, WI

NPI number 1073750295 Active

Practice location

12970 W Bluemound Rd, 308
Elm Grove, WI 53122-2607

Call (262) 780-1020 Map

Fax (262) 780-1022

Mailing address

12970 W Bluemound Rd Ste 200
Elm Grove, WI 53122-2607

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1407-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1073750295

Coleen Rae Kittleson, LPC, NCC's National Provider Identifier is 1073750295, issued on Jan 9, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elm Grove, WI. The record was last updated on Feb 5, 2019.