Individual
JEANNIE MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
704 HIGHWAY 100, SUITE 101, CENTERVILLE, TN 37033
(931) 729-3573
Mailing address
854 W. JAMES CAMPBELL, SUITE 101, COLUMBIA, TN 38401
(931) 490-0999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/07/2011
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