Individual
KELSEY MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
4551 SHAWANO AVE, GREEN BAY, WI 54313-7552
(715) 927-0889
Mailing address
4551 SHAWANO AVE, GREEN BAY, WI 54313-7552
(159) 270-8897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4852-226
WI
101YP2500X
Professional Counselor
Primary
11406-125
WI
Other
Enumeration date
01/20/2021
Last updated
06/05/2025
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