Mahnke, Kurt L.

Mahnke, Kurt L. is an sole proprietor health care provider with primary practice located at 1477 Kenwood Ctr , Menasha WI 54952-1160. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mahnke, Kurt L. can be contacted via phone (920) 729-6780.

Contact Information

Primary practice address
1477 Kenwood Ctr Menasha WI 54952-1160
Phone: (920) 729-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 252-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 892-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122-124 Wisconsin

Profile Details

NPI number 1336206671
LBN Legal business name Mahnke, Kurt L.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jan 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336206671 NPPES
Wisconsin MEDICAID 43701400

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