Individual
RACHEL C KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6221 RICHARDS DR, SHAWNEE, KS 66216-1724
(913) 248-1943
Mailing address
130 E 5TH ST, NEWTON, KS 67114-2206
(316) 283-6743
(316) 283-6830
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
04520
KS
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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