PATRICK K KELLEY

VIROQUA, WI
NPI1245824804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16004)
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
Mr. PATRICK K KELLEY CSAC,ICS
1321 N MAIN ST
VIROQUA, WI 54665-1156
Phone number: 608-637-7052
Mailing Address
Mr. PATRICK K KELLEY CSAC,ICS
1707 MAIN ST
LA CROSSE, WI 54601-4200
Phone number: 608-785-0001
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