Individual provider · Type 1 NPI

Mary Andrea Kishline, MSW

Counselor · Kenosha, WI

NPI number 1316013030 Active

Practice location

3734 7th Ave, Suite 24
Kenosha, WI 53140

Call (262) 654-0487 Map

Fax (262) 654-2434

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X3427123 (WI)

Counselor: 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.

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About NPI 1316013030

Mary Andrea Kishline, MSW's National Provider Identifier is 1316013030, issued on Nov 27, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.