Individual
KELLEY RAE MENDALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
Mailing address
800 WILSON AVE RM 330, MENOMONIE, WI 54751-2746
(715) 256-7166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7120125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7120125
—
WI
Enumeration date
09/28/2018
Last updated
04/19/2023
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