Individual
MR. SEAN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1407 DELLWOOD DR, LOUISVILLE, KY 40216-4070
(502) 303-8518
Mailing address
1407 DELLWOOD DR, LOUISVILLE, KY 40216-4070
(502) 303-8518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261888
KY
101YP2500X
Professional Counselor
Primary
283487
KY
Other
Enumeration date
08/13/2020
Last updated
02/23/2023
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