Individual
MR. MIKEL KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
1650 GRASSLAND DR, BROWNSBURG, IN 46112-7893
(317) 946-3495
Mailing address
1650 GRASSLAND DR, BROWNSBURG, IN 46112-7893
(317) 946-3495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002195A
IN
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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