Individual
KELLI SAVANNAH CHARLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1701 N CENTRAL AVE, MONETT, MO 65708-6570
(417) 476-1000
Mailing address
PO BOX 100, PIERCE CITY, MO 65723-2100
(417) 476-1013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008025261
MO
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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