Most Relevant Information
Provider Data
| NPI Number: | 1003314907 |
| Provider Name: | KIERSTEN LYNETTE BUCK LPC, SAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 18178-130 |
Most Important Dates
| Enumeration Date: | 01/25/2018 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
800 WILSON AVE RM 330
MENOMONIE
WI
547512746
Practice Location Phone/Fax
| Phone: | 7152567166 |
| Fax: |
Provider Mailing Location
800 WILSON AVE RM 330
MENOMONIE
WI
547512746
Provider Mailing Phone/Fax
| Phone: | 7152567166 |
| Fax: | 8884278048 |