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Individual
MR. WILLIAM XAVIER KELLY
Active
Individual
MR. WILLIAM XAVIER KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LMHC, LADC1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000668
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
2304
MA
101YM0800X
Mental Health Counselor
Primary
7274
MA
101YP2500X
Professional Counselor
001719
CT
106H00000X
Marriage & Family Therapist
001149
CT
Other
Enumeration date
04/22/2007
Last updated
03/09/2010
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