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Individual

KELLI ANN FREY

Active
Find providers by NPI
Individual

KELLI ANN FREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, CADC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
265839
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9397
PA
101YP2500X
Professional Counselor
PC006948
PA

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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