location
search-icon
person
Kelly Rae Hendricks
Peer Specialist in Wautoma, Wisconsin
NPI 1932858263

Kelly Rae Hendricks is a Peer Specialist based in Wautoma, WI. Kelly Rae Hendricks practices in Wautoma, WI. The NPI Number for Kelly Rae Hendricks is 1932858263 and holds a License No. (Wisconsin).

The current practice location address for Kelly Rae Hendricks is 230 Park St, Wautoma, WI and can be reached out via phone at 920-787-6550.

Location: 230 Park St, Wautoma, WI, 54982-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932858263
Provider Name
Kelly Rae Hendricks
Credential
Provider Entity Type
Individual
Gender
Female
Address
230 Park St, Wautoma, WI, 54982-1230
Phone Number
920-787-6550
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
230 Park St
City
Wautoma
State
Wisconsin
Zip
54982-9031
Phone Number
920-787-6550
Fax Number
person
Provider Business Mailing Address Details
Address
230 Park St
City
Wautoma
State
Wisconsin
Zip
54982-9031
Phone Number
920-787-6550
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.