Individual
MRS. KELLIE MARIE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
2353 E BROWN RD, MESA, AZ 85213-5225
(480) 213-6891
Mailing address
2428 E BILLINGS ST, MESA, AZ 85213-8412
(480) 213-6891
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12817
AZ
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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