Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHELLY LYNN KETELHUT, MSE, NCC, CSAC
Active Sole ProprietorMS. SHELLY LYNN KETELHUT, MSE, NCC, CSAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in OSHKOSH, Wisconsin. NPI 1184871378 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · OSHKOSH, WI
Registration Details
- NPI Number
- 1184871378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2008 (17.961966379604 yrs)
- Last Updated
- Oct 8, 2021
- Licenses
-
4498-125 (WI)15566-130 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1936B ALGOMA BLVDOSHKOSH, WI, 549012104Browse WI providers · Browse ZIP 54901
- Phone
- 9202320208
- Fax
- 8442704612
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in OSHKOSH, WI
| Name | Credential | NPI |
|---|---|---|
| ALICIA A WERCH | MSE,LPC,NCC,CSW,SAC | 1821123555 |
| CYNTHIA SIEGMANN | — | 1730380114 |
| ELIZABETH S. CUMMINGS | — | 1275734667 |
| MR. STEVEN GENE EHLKE | CSAC, CS-IT | 1376743658 |
| PAUL A. ADAMSKI | — | 1124217369 |
| MARK MARMES | CSAC | 1962684845 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.