Individual
MS. KELLY CATHLEEN KELLY-ZAZADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW/ACSW
Contact information
Practice address
301 W. 10TH ST., LAKE ERIE COUNSELING, INC, ERIE, PA 16502
(814) 455-4009
(814) 455-7715
Mailing address
301 W. 10TH ST., LAKE ERIE COUNSELING, INC, ERIE, PA 16502
(814) 455-4009
(814) 455-7715
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C006963
NC
1041C0700X
Clinical Social Worker
Primary
CW016702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102774194
—
PA
Enumeration date
10/23/2008
Last updated
09/23/2019
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