Provider Demographics
NPI:1447705645
Name:KELSCH, KATHY L (MA LPC NCC NADD-CC)
Entity type:Individual
Prefix:MS
First Name:KATHY
Middle Name:L
Last Name:KELSCH
Suffix:
Gender:F
Credentials:MA LPC NCC NADD-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 WYNN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:PA
Mailing Address - Zip Code:17922-8942
Mailing Address - Country:US
Mailing Address - Phone:610-698-3265
Mailing Address - Fax:
Practice Address - Street 1:39 WYNN VIEW DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:PA
Practice Address - Zip Code:17922-8942
Practice Address - Country:US
Practice Address - Phone:610-698-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional