Individual
MR. BRIAN LEE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
3317 W 95TH ST, EVERGREEN PARK, IL 60805-2243
(708) 529-3011
Mailing address
10S141 SUFFIELD DR, DOWNERS GROVE, IL 60516-5184
(773) 316-8697
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180007807
IL
Other
Enumeration date
10/11/2011
Last updated
01/24/2021
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