Individual
JODI M KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 CROSSROADS PLZ, WEST HARTFORD, CT 06117-2470
(860) 944-4642
Mailing address
146 DOVER RD, WEST HARTFORD, CT 06119-1214
(860) 944-4642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005236
CT
Other
Enumeration date
08/31/2023
Last updated
12/10/2024
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