Individual
KELSY J KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GRANT ST, STOUGHTON, WI 53589-1401
(608) 509-4395
Mailing address
620 GRANT ST, STOUGHTON, WI 53589-1401
(847) 363-2368
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180013741
IL
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/02/2025
Last updated
05/01/2026
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