Individual
CYNTHIA NICOLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
211 B WAYNE ST, COLUMBIA, TN 38401
(931) 698-8492
Mailing address
211 B WAYNE ST, COLUMBIA, TN 38401
(931) 698-8492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7581
NC
Other
Enumeration date
07/02/2008
Last updated
03/27/2012
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