Individual
MRS. DENISE E KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED LPC NCC BCBA
Contact information
Practice address
3679 STATE ST, STE G, HERMITAGE, PA 16148
(330) 502-2499
(724) 982-4407
Mailing address
6505 MARKET ST, BOARDMAN, OH 44512-3457
(330) 543-8590
(330) 543-3856
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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