Provider Demographics
NPI:1245661040
Name:LOHMAN, KIMBERLY J (LPC CSAC)
Entity type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:J
Last Name:LOHMAN
Suffix:
Gender:F
Credentials:LPC CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2801 INTERNATIONAL LN STE 205
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3152
Mailing Address - Country:US
Mailing Address - Phone:608-616-4589
Mailing Address - Fax:608-241-4286
Practice Address - Street 1:621 N SHERMAN AVE STE B17
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-4445
Practice Address - Country:US
Practice Address - Phone:608-893-1050
Practice Address - Fax:608-893-1503
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15896-132101YA0400X
WI6019-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)