Provider Demographics
NPI:1386253607
Name:SINJAKOVIC, KIM ALICE (MS IN ART THERAPY)
Entity type:Individual
Prefix:MS
First Name:KIM
Middle Name:ALICE
Last Name:SINJAKOVIC
Suffix:
Gender:F
Credentials:MS IN ART THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:396 N NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54935-2864
Mailing Address - Country:US
Mailing Address - Phone:920-420-0407
Mailing Address - Fax:
Practice Address - Street 1:250 N METRO DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8571
Practice Address - Country:US
Practice Address - Phone:920-903-1009
Practice Address - Fax:800-791-3601
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional