Individual
CASEY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 448-7485
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 448-7485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2164
NH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/15/2016
Last updated
05/08/2024
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