Individual
KELLEY KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BROADWAY, 11TH FLOOR, NEW YORK, NY 10004
(800) 543-3638
Mailing address
1137 NE 3RD AVENUE, FORT LAUDERDALE, FL 33304-1607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT4912
FL
Other
Enumeration date
02/12/2015
Last updated
05/19/2025
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