Individual
KELLEY SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 ACADEMY DRIVE, PENCE SPRINGS, WV 24962
(304) 445-7790
Mailing address
PO BOX 37, GREENVILLE, WV 24945-0037
(304) 832-4116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
368
WV
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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