Individual
MISS MICHELLE A. KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4101 N THANKSGIVING WAY, LEHI, UT 84043-4367
(801) 341-2308
Mailing address
420 ASPEN DR, WANSHIP, UT 84017-9544
(801) 231-1873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8669573-6004
UT
Other
Enumeration date
03/29/2012
Last updated
04/22/2020
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