Individual
LESLIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3RD AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-3172
Mailing address
2211 LOMAS BLVD NE, MSC10 5590, ALBUQUERQUE, NM 87131-0001
(505) 272-3172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3233
NM
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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