Individual
KELLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 331-3292
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3200
(859) 534-2989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272517
KY
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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