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Individual
KENNETH JAMES NELAN
Active
Individual
KENNETH JAMES NELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063661
—
WI
Enumeration date
04/25/2016
Last updated
06/26/2026
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