Kelly Smith

NPI #1972958890 in Juneau, Wisconsin

Provider Information

NPI Number: 1972958890
Entity Type: Individual
Name: Kelly Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 28, 2016
Last Updated: Apr 28, 2016

Practice Location

Address: 199 COUNTY ROAD DF
City: Juneau
State: Wisconsin
ZIP Code: 53039-9512
Phone: (920) 382-3079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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