Kelly Ketelaar, LPC

NPI #1851049621 in Manhattan, Illinois

Provider Information

NPI Number: 1851049621
Entity Type: Individual
Name: Kelly Ketelaar, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 11, 2022
Last Updated: Mar 11, 2022

Practice Location

Address: 25447 ELAM DR
City: Manhattan
State: Illinois
ZIP Code: 60442-6219
Phone: (815) 530-5092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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