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Individual

GREGORY VINCENT KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, LPC

Contact information

Practice address
3303 TULANE AVE, NEW ORLEANS, LA 70119-7185
(504) 302-1323
Mailing address
2410 PINE ST, NEW ORLEANS, LA 70125-4047
(504) 430-5077

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4637
LA
101YP2500X
Professional Counselor
64787
TX
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
156751
LA

Other

Enumeration date
05/03/2010
Last updated
11/19/2018
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