Individual
KATHRYN D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Mailing address
501 COLLIERS WAY, WEIRTON, WV 26062-5003
(304) 723-5440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1373
WV
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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