Individual
JAMMIE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
711 MEADOWCREEK CT, GARLAND, TX 75043-5265
(214) 779-0792
Mailing address
711 MEADOWCREEK CT, GARLAND, TX 75043-5265
(214) 779-0792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12325
TX
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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