Individual
MS. BETHANY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4039 NICOLET AVE, LOS ANGELES, CA 90008-2217
(747) 403-0461
Mailing address
5500 YORK LN N, COLUMBUS, OH 43232-1565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
108173
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
108173
CA
1041C0700X
Clinical Social Worker
I.1500966
OH
Other
Enumeration date
07/17/2013
Last updated
12/17/2024
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