person
Ms. Shelly Lynn Ketelhut, MSE,NCC,CSAC
Addiction (Substance Use Disorder) Counselor in Oshkosh, Wisconsin
NPI 1184871378

Shelly Lynn Ketelhut is an Addiction (Substance Use Disorder) Counselor based in Oshkosh, WI and is specialized in Addiction (Substance Use Disorder). Shelly Lynn Ketelhut practices in Oshkosh, WI and has the professional credentials of MSE,NCC,CSAC. The NPI Number for Shelly Lynn Ketelhut is 1184871378 and holds a License No. 4498-125 (Wisconsin).

The current practice location address for Shelly Lynn Ketelhut is 1936B Algoma Blvd, Oshkosh, WI and can be reached out via phone at 920-232-0208 and via fax at 844-270-4612.

Location: 1936B Algoma Blvd, Oshkosh, WI, 54901-2104
person
Provider Profile Details
NPI Number
1184871378
Provider Name
Shelly Lynn Ketelhut
Credential
MSE,NCC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1936B Algoma Blvd, Oshkosh, WI, 54901-2104
Phone Number
920-232-0208
Fax Number
844-270-4612
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1936B Algoma Blvd
City
State
Zip
54901-2104
Phone Number
920-232-0208
Fax Number
844-270-4612
person
Provider Business Mailing Address Details
Address
1936B Algoma Blvd
City
State
Zip
54901-2104
Phone Number
920-232-0208
Fax Number
844-270-4612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15566-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4498-125 (Wisconsin)
Definition
Definition to come...
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