Individual
KELLY MARCELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
16026 S SPARTAN ST, CHANDLER, AZ 85225-6082
(713) 614-4186
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 521-6338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
65259
TX
Other
Enumeration date
09/27/2010
Last updated
08/01/2024
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