Individual provider · Type 1 NPI

Kelly Smith

Mental Health Counselor · Juneau, WI

NPI number 1972958890 Active

Practice location

199 County Road Df
Juneau, WI 53039-9512

Mailing address

1005 Newton Ave
Waupun, WI 53963-1211

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972958890

Kelly Smith's National Provider Identifier is 1972958890, issued on Apr 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Juneau, WI. The record was last updated on Apr 28, 2016.