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Individual
KELLY L COWAN
Active
Individual
KELLY L COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2021033145
MO
101YM0800X
Mental Health Counselor
6401224121
MI
101YM0800X
Mental Health Counselor
7675
TN
101YM0800X
Mental Health Counselor
Primary
P2005013
AR
101YP2500X
Professional Counselor
068.0137349
VT
101YP2500X
Professional Counselor
E.2606924
OH
Other
Enumeration date
08/22/2017
Last updated
08/31/2026
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