Provider Demographics
NPI:1134595291
Name:SCHOENECK, KATHLEEN (LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:SCHOENECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:N11230 ANTIGO ST
Mailing Address - Street 2:#278
Mailing Address - City:ELCHO
Mailing Address - State:WI
Mailing Address - Zip Code:54428-9613
Mailing Address - Country:US
Mailing Address - Phone:715-275-3934
Mailing Address - Fax:715-275-4510
Practice Address - Street 1:WETZEL RASSMUSSEN COUSELING SERVICES
Practice Address - Street 2:W10610 CLINIC STREET 278
Practice Address - City:ELCHO
Practice Address - State:WI
Practice Address - Zip Code:54428-0278
Practice Address - Country:US
Practice Address - Phone:715-275-3934
Practice Address - Fax:715-275-4533
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional