Individual
MRS. JESSICA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, LPC
Contact information
Practice address
3301 VETERANS DR STE 205, TRAVERSE CITY, MI 49684-4575
(231) 714-4532
Mailing address
3615 VANCE RD, TRAVERSE CITY, MI 49685-8512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401019150
MI
101YM0800X
Mental Health Counselor
Primary
6401019150
MI
Other
Enumeration date
10/09/2014
Last updated
04/16/2026
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