Individual
KELSEY DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1001 FOURIER DR STE 200, MADISON, WI 53717-1958
(608) 740-2001
Mailing address
2607 N. GRANDVIEW BLVD SUITE 110, WAUKESHA, WI 53188
(262) 313-8339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2199
WI
101YP2500X
Professional Counselor
6322-125
WI
Other
Enumeration date
06/13/2016
Last updated
05/10/2023
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