Mrs. K. M. Kelly LSW, LPCC
Professional Counselor in Wooster, OH(View on Map)
Full Name
Mrs. K. Michelle Kelly LSW, LPCC
NPI Number
1073934105
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/16/2013
Specialties
(Taxonomies)Code
101YP2500X
101YP1600X
104100000X
Primary Taxonomy
Yes
No
No
Licenses
State
Ohio
Ohio
Ohio
License Number
E.1300607
C.1300607
S.0025386
Contact
Information
Purpose
Mailing
Location
Address
2587 BACK ORRVILLE RD
2587 BACK ORRVILLE RD
City
Wooster
Wooster
State
OH
OH
Postal Code
44691-9523
44691-9523
Country
US
US
Telephone Number
(330) 264-9579
(330) 264-9579
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/05/2016
Provider Address
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