Individual provider · Type 1 NPI
Shelly Lynn Ketelhut, MSE, NCC, CSAC
Addiction (Substance Use Disorder) Counselor · Oshkosh, WI
NPI number
1184871378
Active
Practice location
1936B Algoma Blvd
Oshkosh, WI 54901-2104
Fax (844) 270-4612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 4498-125 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15566-130 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1184871378
Shelly Lynn Ketelhut, MSE, NCC, CSAC's National Provider Identifier is 1184871378, issued on Aug 19, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oshkosh, WI. The record was last updated on Oct 8, 2021.