Individual
KELLY ROSE SCHOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC
Contact information
Practice address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Mailing address
206 COURT ST, CHILTON, WI 53014-1127
(920) 849-1400
(920) 849-1468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15741-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730340217
—
WI
Enumeration date
06/18/2008
Last updated
05/29/2014
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