Individual
MARY KATHLEEN D KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LPC
Contact information
Practice address
810 BESTGATE RD STE 325, ANNAPOLIS, MD 21401-3648
(571) 344-4224
Mailing address
810 BESTGATE RD STE 325, ANNAPOLIS, MD 21401-4291
(703) 831-8300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701010214
VA
101YM0800X
Mental Health Counselor
LC13328
MD
101YP2500X
Professional Counselor
Primary
0701010214
VA
163W00000X
Registered Nurse
0001152431
VA
Other
Enumeration date
11/08/2019
Last updated
11/04/2024
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