Individual
KATRINA ALMA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.S.W.
Contact information
Practice address
125 HERITAGE OAKS DR, CEDAR CREEK, TX 78612-3346
(361) 960-9034
Mailing address
125 HERITAGE OAKS DR, CEDAR CREEK, TX 78612-3346
(361) 960-9034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11398
TX
104100000X
Social Worker
Primary
61384
TX
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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