Individual
MR. WILLIAM J. KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
22 OAK TREE DR, N KINGSTOWN, RI 02852-2035
(401) 885-2509
Mailing address
22 OAK TREE DR, N KINGSTOWN, RI 02852-2035
(401) 885-2509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000455
CT
101YP2500X
Professional Counselor
93
SC
Other
Enumeration date
03/12/2007
Last updated
04/15/2009
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