person
Kelly Thomack
Professional Counselor in Appleton, Wisconsin
NPI 1750796488

Kelly Thomack is a Professional Counselor based in Appleton, WI and is specialized in Professional. Kelly Thomack practices in Appleton, WI. The NPI Number for Kelly Thomack is 1750796488 and holds a License No. 5455-125 (Wisconsin).

The current practice location address for Kelly Thomack is 5471 W Waterford Ln, Appleton, WI and can be reached out via phone at 920-731-7445 and via fax at 920-731-7490.

Location: 5471 W Waterford Ln, Appleton, WI, 54913-9407
person
Provider Profile Details
NPI Number
1750796488
Provider Name
Kelly Thomack
Credential
Provider Entity Type
Individual
Gender
Female
Address
5471 W Waterford Ln, Appleton, WI, 54913-9407
Phone Number
920-731-7445
Fax Number
920-731-7490
Provider Enumeration Date
06/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5471 W Waterford Ln
City
State
Zip
54913-8510
Phone Number
920-731-7445
Fax Number
920-731-7490
person
Provider Business Mailing Address Details
Address
5471 W Waterford Ln
City
State
Zip
54913-8510
Phone Number
920-731-7445
Fax Number
920-731-7490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5455-125 (Wisconsin)
Definition
Definition to come...
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