Individual
ALICIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7470 HIGHLAND RD, BATON ROUGE, LA 70808-6611
(225) 362-3256
Mailing address
1561 PARKER ST, BATON ROUGE, LA 70808-1177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2300
LA
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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