Individual
MRS. DENISE E KELLEY
Active
Individual
MRS. DENISE E KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED LPC NCC BCBA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C0800108
OH
101YP2500X
Professional Counselor
Primary
E.0800108
OH
101YP2500X
Professional Counselor
PC004805
PA
103K00000X
Behavior Analyst
1-10-7774
PA
Other
Enumeration date
04/29/2008
Last updated
10/19/2018
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