Individual
DOUGLAS KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
362 CHURCHILL RD, PITTSBURGH, PA 15235-5307
(412) 789-4273
Mailing address
362 CHURCHILL RD, PITTSBURGH, PA 15235-5307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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