Individual
MS. CAROL J. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
1469 HIGHWAY 2 SOUTH, LIBBY, MT 59923
(406) 532-9100
(406) 827-4491
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1148
MT
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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