Individual
MS. KELLY A SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PC
Contact information
Practice address
2454 DUTCH MILL DR, FAIRBORN, OH 45324-2663
(937) 878-2048
Mailing address
2454 DUTCH MILL DR, FAIRBORN, OH 45324-2663
(937) 878-2048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C7971
OH
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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