Individual
MRS. BRANDY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
66 W FLAGLER ST, MIAMI, FL 33130-1807
(786) 244-7711
Mailing address
307 AUSTIN AVE, EFFINGHAM, IL 62401-2707
(086) 742-1997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178-013578
IL
101YP2500X
Professional Counselor
Primary
180014776
IL
Other
Enumeration date
04/05/2018
Last updated
10/24/2022
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