Whalen, Kelsey Rae

Whalen, Kelsey Rae is an individual health care provider with primary practice located at 444 Main St Ste 305 , La Crosse WI 54601-4099. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Whalen, Kelsey Rae can be contacted via phone (608) 305-4903.

Contact Information

Primary practice address
444 Main St Ste 305 La Crosse WI 54601-4099
Fax: (608) 218-3820
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 718-228 Wisconsin

Profile Details

NPI number 1326683434
LBN Legal business name Whalen, Kelsey Rae
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2019
Last updated Oct 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326683434 NPPES
Wisconsin MEDICAID 100211286

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