Kelly Thomack
Kelly Thomack is a Professional Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.
- Licensed in
- WI
- In the registry since
- 2014
Practice location Address checks out
5471 W Waterford LnAppleton, WI 54913-8510
Phone: (920) 731-7445
Fax: (920) 731-7490
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 5455-125 (WI) |
|---|
Record details
| NPI number | 1750796488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 20, 2014 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 1835 E Edgewood Dr Ste 105-540, Appleton, WI 54913-9407 |
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