person
Dr. Kelly Jean Smith, PHD,LPC
Professional Counselor in Racine, Wisconsin
NPI 1013539477

Kelly Jean Smith is a Professional Counselor based in Racine, WI and is specialized in Professional. Kelly Jean Smith practices in Racine, WI and has the professional credentials of PHD,LPC. The NPI Number for Kelly Jean Smith is 1013539477 and holds a License No. 7421-125 (Wisconsin).

The current practice location address for Kelly Jean Smith is 1717 Taylor Ave, Racine, WI and can be reached out via phone at 262-638-6771.

Location: 1717 Taylor Ave, Racine, WI, 53403-2405
person
Provider Profile Details
NPI Number
1013539477
Provider Name
Kelly Jean Smith
Credential
PHD,LPC
Provider Entity Type
Individual
Gender
Female
Address
1717 Taylor Ave, Racine, WI, 53403-2405
Phone Number
262-638-6771
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 Taylor Ave
City
State
Zip
53403-2405
Phone Number
262-638-6771
Fax Number
person
Provider Business Mailing Address Details
Address
1717 Taylor Ave
City
State
Zip
53403-2405
Phone Number
262-638-6771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7421-125 (Wisconsin)
Definition
Definition to come...
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