Individual
KELLI WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
420 E LONGVIEW DR STE C, APPLETON, WI 54911-2102
(920) 815-3355
(920) 239-6067
Mailing address
420 E LONGVIEW DR STE C, APPLETON, WI 54911-2102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
06/12/2023
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