Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellan Christian Henning

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740050657

Kellan Christian Henning is an Addiction (Substance Use Disorder) Counselor in Fond Du Lac, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

23 W Scott St
Fond Du Lac, WI 54935-2342
Phone: (920) 926-0101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20252-130 (WI)

Record details

NPI number1740050657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 3, 2024
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address8444 N 90th St Ste 100, Scottsdale, AZ 85258-4437

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