Individual
MS. KELLY ELIZABETH ACKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
1103 COMMERCIAL ST STE D, EMPORIA, KS 66801-2920
(620) 412-8582
Mailing address
2514 MONTEZUMA CT, EMPORIA, KS 66801-5865
(620) 340-2735
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1966
KS
Other
Enumeration date
04/02/2008
Last updated
06/16/2021
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