Individual provider · Type 1 NPI

Kelly Jean Smith, PhD, LPC

Professional Counselor · Racine, WI

NPI number 1013539477 Active

Practice location

1717 Taylor Ave
Racine, WI 53403-2405

Call (262) 638-6771 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7421-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1013539477

Kelly Jean Smith, PhD, LPC's National Provider Identifier is 1013539477, issued on May 8, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Racine, WI. The record was last updated on May 8, 2020.