Individual
BOBBI JAE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 WASHINGTON ST, MONTPELIER, ID 83254-1423
(208) 847-4464
(208) 847-4251
Mailing address
1100 TORREY RD, STE 100, FENTON, MI 48430-3327
(208) 847-4464
(208) 847-4251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-35444
ID
104100000X
Social Worker
17440
MD
Other
Enumeration date
09/26/2013
Last updated
09/19/2018
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