Individual
MRS. JANINE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
103 E CHURCH ST, NANTICOKE, PA 18634-2406
(570) 357-1165
Mailing address
103 E CHURCH ST, NANTICOKE, PA 18634-2406
(570) 357-1165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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