Individual
MS. AUDRENA R KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3421 SAN LUCAS LN, DENTON, TX 76208-6074
(765) 631-3292
Mailing address
3421 SAN LUCAS LN, DENTON, TX 76208-6074
(765) 631-3292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
59582
TX
1041C0700X
Clinical Social Worker
Primary
59582
TX
Other
Enumeration date
06/28/2022
Last updated
04/19/2023
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