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Individual
KELSEY OGLESBY
Active
Individual
KELSEY OGLESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180012997
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180012997
CLINICAL LICENSE
IL
Enumeration date
04/24/2018
Last updated
03/12/2021
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