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Individual
ROWAN KELLEY
Active
Individual
ROWAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
39004723A
IN
101Y00000X
Counselor
6401225208
MI
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
39004723A
IN
101YM0800X
Mental Health Counselor
6401225208
MI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
04/13/2026
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