Individual
KELLIE JURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 824-7243
(608) 821-0938
Mailing address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 824-7243
(608) 821-0938
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2473124
WI
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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