Individual
MRS. KELLY RENEE TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC-S, LMHC
Contact information
Practice address
625 LOOP RD, KENT, OH 44242-9225
(330) 672-4287
Mailing address
39066 SMITH RD, LITCHFIELD, OH 44253-9603
(440) 376-1842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0003996-SUPV
OH
101YM0800X
Mental Health Counselor
LMHC10004142
MA
Other
Enumeration date
10/18/2006
Last updated
06/10/2025
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