Individual
SANDRA DEMOS KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
8300 BROADWAY, F1, MERRILLVILLE, IN 46410-8602
(219) 736-1000
(219) 736-9699
Mailing address
8300 BROADWAY, F1, MERRILLVILLE, IN 46410-8602
(219) 736-1000
(219) 736-9699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1800004640
IL
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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