Individual
KAYLEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12421 LAKE ST APT 6, EAGLE RIVER, AK 99577-6903
(907) 529-9396
Mailing address
12421 LAKE ST APT 6, EAGLE RIVER, AK 99577-6903
(907) 529-9396
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PCOP747
AK
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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