Individual
LETISHAL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 YORK ST, CHESTER, SC 29706-1484
(704) 493-0466
Mailing address
10810 TRADITION VIEW DR, CHARLOTTE, NC 28269-1421
(704) 493-0466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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