Individual
KELLY CORROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2009 CRIMSON WAY, DE PERE, WI 54115-7457
(920) 634-1756
Mailing address
4340 ELM LAWN RD, OCONTO FALLS, WI 54154-9656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4198-226
WI
101YM0800X
Mental Health Counselor
Primary
8203-125
WI
Other
Enumeration date
01/20/2020
Last updated
11/07/2023
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