Individual
KELSEY JO WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N STATE ST, NORTH VERNON, IN 47265-2454
(812) 220-5157
Mailing address
22 RICHWOOD RD APT A1, MILTON, KY 40045-8232
(502) 663-1671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
IN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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