Individual
MR. ROSS EUGENE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. LPC
Contact information
Practice address
65 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2894
(479) 443-9707
(479) 443-4504
Mailing address
65 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703-2894
(479) 443-9707
(479) 443-4504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P1402021
AR
Other
Enumeration date
05/31/2012
Last updated
08/07/2015
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