Individual
CHRISTINA MARIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSW, LCSW, LISAC
Contact information
Practice address
PO BOX 51, PINETOP, AZ 85935-0051
(602) 456-1504
Mailing address
PO BOX 51, PINETOP, AZ 85935-0051
(602) 456-1504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
118526
CA
1041C0700X
Clinical Social Worker
Primary
21794
AZ
Other
Enumeration date
07/30/2013
Last updated
02/05/2026
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