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Individual

MISS AMY KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
175 SE APACHE WAY, LAKE CITY, FL 32025-1723
(407) 493-0656
Mailing address
630 KINGSLEY AVE, ORANGE PARK, FL 32073-5465
(904) 337-9040

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0013812
CO

Other

Enumeration date
01/09/2013
Last updated
02/01/2026
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