Organization
KELLEY & KELLEY COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P KELLEY LPC (PRESIDENT)
(520) 403-4100
Entity
Organization
Contact information
Practice address
4550 E FIFTH STREET, TUCSON, AZ 85711
(520) 975-5305
(520) 838-8698
Mailing address
5546 W TUMBLING F ST, TUCSON, AZ 85713-4453
(520) 403-4100
(520) 838-8698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10167
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10666
AZ
101YP2500X
Professional Counselor
Primary
LPC-11749
AZ
101YP2500X
Professional Counselor
LPC-11795
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-11749
AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
01
—
LPC-11795
AZ BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
02/12/2009
Last updated
04/09/2011
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