Individual
KATHY ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
107 WOODBINE PL, LONGVIEW, TX 75601-2912
(800) 446-8253
(903) 234-1639
Mailing address
2811 F ST APT 19, SACRAMENTO, CA 95816-3765
(916) 218-5373
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203963
TX
106H00000X
Marriage & Family Therapist
53476
CA
Other
Enumeration date
09/01/2016
Last updated
08/17/2022
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