Individual
ANGELA WILSON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
907 HAVILAND DR, VESTAVIA HILLS, AL 35216-2330
(205) 527-0791
Mailing address
907 HAVILAND DR, VESTAVIA HILLS, AL 35216-2330
(205) 527-0791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3297
AL
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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