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Individual

MRS. SAMANTHA A.H. KELLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
100 ANDREW ST # 2, ALBERTVILLE, AL 35950-1971
(256) 239-5662
Mailing address
319 ALABAMA 75, SUITE B, ALBERTVILLE, AL 35951
(256) 660-0796

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3440
AL
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
3440
AL

Other

Enumeration date
12/11/2014
Last updated
01/08/2024
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