Individual
MRS. KELLY LYNN KESSENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2200 LAKE AVE, SUITE 260, FORT WAYNE, IN 46805-5397
(260) 424-0411
(260) 424-3530
Mailing address
7703 BOWLANDER WAY, FORT WAYNE, IN 46835-9145
(260) 414-1127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002045A
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080580A
—
IN
Enumeration date
02/24/2009
Last updated
01/18/2024
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