| Doctor Name: | KATHRYN EILEEN KEEFE-NEILSON |
| NPI Number: | 1063889996 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS ED, LPC-IT |
| License Number: | 2627-226 |
| Business Practice Address: | 1810 Appleton Rd Menasha, WI - 549521110 |
| Business Phone Number: | 9207394226 |
| Business Fax Number: | 9207397639 |
| Mailing Address: | Po Box 22308, GREEN BAY |
| State: | WI |
| Postal Code: | 543052308 |
| Phone Number: | 9204364360 |
| Fax Number: | 9204325966 |
| NPI Enumeration Date: | 08/26/2015 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2627-226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |