| Kathleen M Herbison Kisting, CSAC | |
|
100 Polk County Plz, Suite 50, Balsam Lake, WI 54810-9071 | |
| (715) 485-8463 | |
| (715) 485-8490 |
| Full Name | Kathleen M Herbison Kisting |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 Polk County Plz, Balsam Lake, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427271147 | NPI | - | NPPES |
| 39345700 | Medicaid | WI | |
| 663731021639 | Other | WI | PREFERREDONE INSURANCE |
| 372795 | Other | WI | MHN HMC INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 775 132 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Herbison Kisting, CSAC 2834 22nd St, Rice Lake, WI 54868-9752 Ph: (715) 234-9833 | Kathleen M Herbison Kisting, CSAC 100 Polk County Plz, Suite 50, Balsam Lake, WI 54810-9071 Ph: (715) 485-8463 |
Roberta J Carlson, MS, LMFT, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz, Suite 50, Balsam Lake, WI 54810 Phone: 715-485-8465 Fax: 715-485-8490 | |
Leah Loeffler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz, Balsam Lake, WI 54810 Phone: 715-485-8513 | |
Ms. Karen Rusch, LCSAC, LICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz, Suite 50, Balsam Lake, WI 54810 Phone: 715-485-8464 Fax: 715-485-8490 | |
William J P Anderson, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz, Suite 50, Balsam Lake, WI 54810 Phone: 715-485-8862 Fax: 715-485-8490 | |
Gary P Ehrich, CSAC, ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz Ste 50, Balsam Lake, WI 54810 Phone: 715-485-8879 | |
Mr. Perry J Anderson Jr., MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Polk County Plz, Suite 50, Balsam Lake, WI 54810 Phone: 715-485-8445 Fax: 715-485-8490 |