Individual
DONALD PATRICK KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.P.C.
Contact information
Practice address
1714 S RESERVE ST, MISSOULA, MT 59801-4752
(406) 239-0167
Mailing address
1714 S RESERVE ST, MISSOULA, MT 59801-4752
(406) 239-0167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1453-LCPC
MT
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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