Individual
BEVERLY JO KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
(304) 623-2180
Mailing address
6 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 623-5661
(304) 623-2180
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1789
WV
104100000X
Social Worker
Primary
AP00939667
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV39667
THP
WV
Enumeration date
08/31/2006
Last updated
09/11/2025
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