Individual
MRS. TERESA GAYLE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2022 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-3945
(901) 626-7111
(901) 755-6152
Mailing address
2022 EXETER RD, SUITE 1, GERMANTOWN, TN 38138-3945
(901) 626-7111
(901) 755-6152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2276
TN
Other
Enumeration date
02/13/2008
Last updated
02/04/2012
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