Individual
MRS. AMY LYNN KELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
812 W 8TH ST STE 6A, PLAINVIEW, TX 79072
(806) 429-2656
(833) 477-1234
Mailing address
812 W 8TH ST STE 6A, PLAINVIEW, TX 79072-7931
(806) 778-8800
(833) 477-1234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
70236
TX
Other
Enumeration date
08/31/2017
Last updated
07/18/2018
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