Individual
MELISSA A KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 FERRIDAY DR, RIDGECREST, LA 71334-3614
(318) 758-5242
Mailing address
202 FERRIDAY DR, RIDGECREST, LA 71334-3614
(318) 758-5242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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