Individual
KELLY DUFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, M.A., NCSP
Contact information
Practice address
122 CENTER ST, CLAY, WV 25043-7046
(304) 587-2867
Mailing address
122 CENTER ST, CLAY, WV 25043-7046
(304) 587-2867
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
Primary
—
WV
103TS0200X
School Psychologist
L9A131700210
WV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/13/2024
Last updated
04/14/2026
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