Provider Demographics
NPI:1659318871
Name:KELBEL, LISA LYNN (PROF MENTAL HLTH TEC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:LYNN
Last Name:KELBEL
Suffix:
Gender:F
Credentials:PROF MENTAL HLTH TEC
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:LYNN
Other - Last Name:OTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PROF MENTAL HLTH TEC
Mailing Address - Street 1:220 E LA CROSSE ST
Mailing Address - Street 2:JUNEAU COUNTY HUMAN SERVICES
Mailing Address - City:MAUSTON
Mailing Address - State:WI
Mailing Address - Zip Code:53948-2101
Mailing Address - Country:US
Mailing Address - Phone:608-847-2400
Mailing Address - Fax:608-847-9599
Practice Address - Street 1:220 E LA CROSSE ST
Practice Address - Street 2:JUNEAU COUNTY HUMAN SERVICES
Practice Address - City:MAUSTON
Practice Address - State:WI
Practice Address - Zip Code:53948-2101
Practice Address - Country:US
Practice Address - Phone:608-847-2400
Practice Address - Fax:608-847-9599
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other