Individual
JESSICA EVE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10455 FRANKLIN LN, WILMER, AL 36587-9336
(423) 605-7632
Mailing address
10455 FRANKLIN LN, WILMER, AL 36587-9336
(423) 605-7632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
L496
AL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/16/2008
Last updated
07/30/2020
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