Individual
JOHANNA EILEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW
Contact information
Practice address
2108 W 75TH ST # 401, PRAIRIE VILLAGE, KS 66208-3503
(816) 388-0370
Mailing address
2108 W 75TH ST # 401, PRAIRIE VILLAGE, KS 66208-3503
(816) 388-0370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06375
KS
1041C0700X
Clinical Social Worker
2023044019
MO
Other
Enumeration date
09/28/2021
Last updated
11/19/2025
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