Individual
BRANDEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
(440) 578-8200
Mailing address
38882 MENTOR AVE, WILLOUGHBY, OH 44094-7875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002654
OH
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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