person
Dr. Shannon Rae Kelley-poulos, PSYD
Mental Health Counselor in Milwaukee, Wisconsin
NPI 1275742066

Shannon Rae Kelley-poulos is a Mental Health Counselor based in Milwaukee, WI and is specialized in Mental Health. Shannon Rae Kelley-poulos practices in Milwaukee, WI and has the professional credentials of PSYD. The NPI Number for Shannon Rae Kelley-poulos is 1275742066 and holds a License No. (Wisconsin).

The current practice location address for Shannon Rae Kelley-poulos is 1216 N Prospect Ave, Milwaukee, WI and can be reached out via phone at 414-271-9791 and via fax at 414-271-1299.

Location: 1216 N Prospect Ave, Milwaukee, WI, 53202-3014
person
Provider Profile Details
NPI Number
1275742066
Provider Name
Shannon Rae Kelley-poulos
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1216 N Prospect Ave, Milwaukee, WI, 53202-3014
Phone Number
414-271-9791
Fax Number
414-271-1299
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1216 N Prospect Ave
City
State
Zip
53202-3014
Phone Number
414-271-9791
Fax Number
414-271-1299
person
Provider Business Mailing Address Details
Address
1216 N Prospect Ave
City
State
Zip
53202-3014
Phone Number
414-271-9791
Fax Number
414-271-1299
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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