Individual
KELLY ESHBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 75TH ST, KENOSHA, WI 53143-1544
(262) 909-6008
Mailing address
1400 75TH ST, KENOSHA, WI 53143-1544
(262) 909-6008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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