Individual
KELLI CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
PPC-908
WY
101YP2500X
Professional Counselor
PPC-908
WY
101YS0200X
School Counselor
—
WY
Other
Enumeration date
06/30/2015
Last updated
06/16/2016
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