Individual
ANA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
485 S PINE ST, SPARTANBURG, SC 29302-2751
(864) 707-2167
Mailing address
120 COOLEY ST, DUNCAN, SC 29334-9644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6412
SC
Other
Enumeration date
02/23/2016
Last updated
03/17/2018
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