Organization
JO KELLY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO ANNA KELLY MA LLC (COUNSELOR)
(616) 885-6027
Entity
Organization
Contact information
Practice address
5557 28TH ST SE STE B291, GRAND RAPIDS, MI 49512-2025
(616) 885-6027
Mailing address
5557 28TH ST SE STE B291, GRAND RAPIDS, MI 49512-2025
(616) 885-6027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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