Individual
MS. KELLI NICOLE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, ADC
Contact information
Practice address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(334) 712-2720
Mailing address
PO BOX 1245, DOTHAN, AL 36302-1245
(334) 712-2720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC04991
AL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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