Individual
KELSEY RAE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
444 MAIN ST STE 305, LA CROSSE, WI 54601-4099
(608) 305-4903
(608) 218-3820
Mailing address
444 MAIN ST STE 305, LA CROSSE, WI 54601-4099
(608) 305-4903
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
718-228
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211286
—
WI
Enumeration date
11/12/2019
Last updated
10/30/2022
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