# MRS. KAY KELLY ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013135946
- **Gender:** F
- **Credential:** MED

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LCPC2976 | ID | — |
| 106H00000X | Marriage & Family Therapist | LMFT2977 | ID | Yes |

## Other

- **Enumeration date:** 04/24/2007
- **Last updated:** 06/08/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 806910400 | — | ID |
| 05 | — | 806983200 | — | ID |
| 05 | — | 806984800 | — | ID |
| 05 | — | 807346100 | — | ID |
| 05 | — | 807384700 | — | ID |