Individual
CHRISTINA KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4539 N 22ND ST # 4222, PHOENIX, AZ 85016-4639
(623) 624-9568
Mailing address
4539 N 22ND ST # 4222, PHOENIX, AZ 85016-4639
(623) 624-9568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0022517
CO
101YP2500X
Professional Counselor
LPC-10924
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135315
—
AZ
05
—
598358
—
AZ
Enumeration date
10/18/2019
Last updated
04/27/2026
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