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Individual

MS. MELISSA KAYE KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
2020 CHARLOTTE ST STE 4, BOZEMAN, MT 59718-2774
(406) 209-8397
Mailing address
2020 CHARLOTTE ST STE 4, BOZEMAN, MT 59718-2774
(406) 209-8397

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1005
MT

Other

Enumeration date
04/23/2013
Last updated
04/23/2013
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