| Ketelhut Counseling Llc | |
|
1936b Algoma Blvd Oshkosh WI 54901-2104 | |
| (920) 948-9787 | |
| (920) 231-1755 |
| Full Name | Ketelhut Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1936b Algoma Blvd, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Shelly Lynn Ketelhut (OWNER/THERAPIST) |
| Authorized Official Contact | 9209489787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketelhut Counseling Llc 1936b Algoma Blvd Oshkosh WI 54901-2104 Ph: (920) 948-9787 | Ketelhut Counseling Llc 1936b Algoma Blvd Oshkosh WI 54901-2104 Ph: (920) 948-9787 |
| NPI Number | 1497166797 |
|---|---|
| Provider Enumeration Date | 05/08/2014 |
| Last Update Date | 05/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497166797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4498125 (Wisconsin) | Primary |
| 251S00000X | Community/behavioral Health | 15724132 (Wisconsin) | Secondary |
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