Individual
DR. JONATHAN R. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN., LPC
Contact information
Practice address
4810 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6917
(910) 452-7370
(910) 798-5199
Mailing address
4810 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6917
(910) 452-7370
(910) 798-5199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5550
NC
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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