Individual
KSAKRAD KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
300 OAKLEY ST, CAMBRIDGE, MD 21613-1712
(301) 806-0668
Mailing address
300 OAKLEY ST, CAMBRIDGE, MD 21613-1712
(301) 806-0668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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