Individual
MR. H GREGORY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LSW
Contact information
Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7626
(937) 440-7702
Mailing address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7626
(937) 440-7702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0004103-SUPV
OH
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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