Individual
JILL SUZANNE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 307-4762
(843) 962-5147
Mailing address
5003 UNA RD, HARTSVILLE, SC 29550-1954
(843) 307-4762
(843) 857-4437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6048
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
03/02/2007
Last updated
01/22/2024
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