Individual
DONTE' LAVELL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1180 W MAHALO PL UNIT B, COMPTON, CA 90220-5443
(310) 868-5379
Mailing address
1180 W MAHALO PL UNIT B, COMPTON, CA 90220-5443
(310) 868-5379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-JLOTNC
CA
Other
Enumeration date
08/03/2017
Last updated
07/28/2023
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