Individual
GEORGE WASHINGTON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
40 N SWAN RD STE 114, TUCSON, AZ 85711-3019
(520) 261-0608
(520) 422-4911
Mailing address
4560 E BROADWAY BLVD STE 223, TUCSON, AZ 85711-3558
(520) 261-0608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-16292
AZ
101YP2500X
Professional Counselor
Primary
LPC-18503
AZ
Other
Enumeration date
08/28/2019
Last updated
10/19/2020
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