Individual
KELSEY WOOLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 281-6372
(616) 281-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
6351004436
MI
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
6301019182
MI
390200000X
Student in an Organized Health Care Education/Training Program
F1350625
CA
Other
Enumeration date
02/02/2016
Last updated
03/04/2026
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