Individual provider · Type 1 NPI
Kelly Halladay, LPC-IT, SAC-IT
Professional Counselor · Delafield, WI
NPI number
1639976343
Active
Practice location
613 Milwaukee St
Delafield, WI 53018-1517
Mailing address
2940 Clearwater Ln Apt 205
Waukesha, WI 53189-6893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 20787-130 (WI) |
| Professional Counselor Primary | 101YP2500X | 8831-226 (WI) |
Professional Counselor: Definition to come...
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About NPI 1639976343
Kelly Halladay, LPC-IT, SAC-IT's National Provider Identifier is 1639976343, issued on Feb 28, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Delafield, WI. The record was last updated on Jan 7, 2026.