Individual
DIANA LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4233 HIGHWAY 411, MADISONVILLE, TN 37354-1571
(423) 442-8082
Mailing address
309 S OAK ST APT C, SWEETWATER, TN 37874-2404
(559) 362-3901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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