Individual
MS. TARA JEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
130 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 659-1685
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(563) 508-7817
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178002726
IL
101Y00000X
Counselor
Primary
2012017501
MO
Other
Enumeration date
08/15/2012
Last updated
03/26/2024
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