Individual provider · Type 1 NPI

Kelly Rae Hendricks

Peer Specialist · Wautoma, WI

NPI number 1932858263 Active

Practice location

230 Park St
Wautoma, WI 54982-9031

Call (920) 787-6550 Map

Mailing address

PO Box 1230
Wautoma, WI 54982-1230

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

11 other providers at this address

About NPI 1932858263

Kelly Rae Hendricks's National Provider Identifier is 1932858263, issued on Mar 23, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wautoma, WI. The record was last updated on Mar 23, 2022.